Vascular thromboembolic events following COVID-19 hospital discharge: Incidence and risk factors.
Vascular thromboembolic events following COVID-19 hospital discharge: Incidence and risk factors.
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DOI：
10.1002/rth2.12485
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发表时间：
2021-03
影响因子：
4.6
通讯作者：
Moll S
中科院分区：
文献类型：
--
作者：
Eswaran H;Jarmul JA;Shaheen AW;Meaux D;Long T;Saccoccio D;Moll S
2019年冠状病毒病(新冠肺炎)与住院患者血栓栓子事件的高发生率有关。出院后这种风险是否持续还有待确定。我们对最近因新冠肺炎住院的门诊患者进行了一项回顾性队列研究，以确定出院30天内血管血栓栓子事件的发生率。我们调查了与这些事件相关的危险因素，包括重症监护入院、年龄和抗凝。在因新冠肺炎入院的447名患者中，2.0%的患者在出院后30天内发生了血管血栓栓塞事件。没有风险因素变量与这些事件的风险增加显著相关。新冠肺炎患者出院后血管血栓事件的发生率很低。这些发现不利于新冠肺炎患者常规使用出院后血栓预防。
Coronavirus disease 2019 (COVID‐19) is associated with high rates of thromboembolic events in hospitalized patients. It remains to be determined if this risk persists following hospital discharge. We conducted a retrospective cohort study of outpatients recently hospitalized for COVID‐19 to determine the incidence of vascular thromboembolic events within 30 days of discharge. We investigated the risk factors associated with these events, including intensive care admission, age, and anticoagulation. Among 447 patients hospitalized for COVID‐19, 2.0% experienced a vascular thromboembolic event within 30 days of discharge. No risk factor variable was significantly associated with an increased risk for these events. The incidence of vascular thromboembolic events following hospital discharge for COVID‐19 is low. These findings suggest against the routine use of postdischarge thromboprophylaxis in patients with COVID‐19.
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