Epidemiology of venous thromboembolism in a Chinese population
Epidemiology of venous thromboembolism in a Chinese population
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DOI：
10.1002/bjs.4454
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发表时间：
2004-04-01
影响因子：
9.6
通讯作者：
Cheng, SWK
中科院分区：
文献类型：
--
作者：
Cheuk, BLY;Cheung, GCY;Cheng, SWK
背景：深静脉血栓形成（DVT）在亚洲人中并不常见，常规的血栓预防手术是有争议的。尽管最近的报告，在一些亚洲国家的发病率较高，人口为基础的数据是lacking.Methods：从2000年至2001年的信息检索从一个集中的计算机公共卫生数据库服务的中国少数民族人口670万。DVT和肺栓塞（PE）的发病率，人口统计学和住院死亡率，并分析了不同的手术category.Results：DVT和PE的总体年发病率分别为17.1和3.9每10万人口。静脉血栓栓塞性疾病是更常见的，随着年龄的增长，在两种性别。65岁及以上人群DVT和PE的年年龄特异性发病率分别为81.1/10万和18.6/10万。与DVT和PE相关的医院死亡率分别为7.3%和23.8%。在每年120940例外科手术中，术后DVT和PE的平均发生率分别仅为0.13%和0.04%。结论：静脉血栓栓塞症在中国人中并不像在白种人中那样常见，但它肯定不是罕见的。然而，大多数DVT和PE与手术无关，因此可能不需要常规血栓预防。
Background: Deep vein thrombosis (DVT) is uncommon in Asians and routine thromboprophylaxis for surgery is controversial. Despite recent reports of higher incidences in some Asian countries, population-based data are lacking.Methods: Information from 2000 to 2001 was retrieved from a centralized computer public healthcare database serving an ethnic Chinese population of 6.7 million. The incidence, demographics and hospital mortality rates of DVT and pulmonary embolism (PE) were obtained, and analysed for different surgical categories.Results: The overall annual incidences of DVT and PE were 17.1 and 3.9 per 100000 population respectively. Venous thromboembolic disease was more common with increasing age in both sexes. The annual age-specific incidences of DVT and PE were 81.1 and 18.6 per 100 000 for those aged 65 years and over. Hospital mortality rates associated with DVT and PE were 7.3 and 23.8 per cent respectively. Among 120 940 surgical operations a year, the mean incidence of postoperative DVT and PE was only 0.13 and 0.04 per cent respectively. No high-risk surgical group was identified.Conclusion: Venous thromboembolism is not as common in Chinese as in Caucasians, but it is certainly not rare. The majority of DVTs and PEs, however, were not associated with surgery, so routine thromboprophylaxis may not be required.