Detalle Publicación

Características y manejo diagnóstico-terapéutico de los pacientes con trombosis venosa superficial aislada en los servicios de urgencias hospitalarios españoles: Estudio ALTAMIRA

Autores: Chaib, F. B.; Jiménez Hernández, S.; Pedrajas Navas, J. M.; Carriel Mancilla, J.; Castro Arias, L.; Merlo Loranca, M.; Peiró Gómez, A.; Álvarez Márquez, A.; Lozano Polo, L.; Sánchez Garrido-Lestache, A.; Lecumberri Villamediana, Ramón; Ruiz Artacho, Pedro Celso (Autor de correspondencia)
Título de la revista: EMERGENCIAS
ISSN: 1137-6821
Volumen: 33
Número: 6
Páginas: 433 - 440
Fecha de publicación: 2021
Objectives. To describe the characteristics of patients with isolated lower-limb superficial vein thrombosis (SVT) treated in hospital emergency departments and to evaluate adherence to clinical practice guidelines on diagnosis (vein ultrasound imaging) and therapeutic management (start of anticoagulant therapy). Methods. Retrospective cohort study in 18 Spanish emergency departments. We included all patients with a final emergency department diagnosis of lower-limb SVT aged 18 years or older between January 2016 and May 2017. Backward stepwise multiple logistic regression analysis was used to evaluate adherence to clinical practice guidelines on ordering vein ultrasound imaging and starting anticoagulant therapy. Results. A total of 1166 patients were included. The mean patient age was 59.6 years, and 67.9% were women. About a quarter of the patients (24.4%) had a history of venous thromboembolic disease. Complications developed in 8.9% within 180 days: 4.6% experienced a recurrence and 3.6% progressed to SVT and 1.8% to deep vein thrombosis; pulmonary thromboembolism occurred in 0.9%. Hemorrhagic complications developed in 17 patients (1.5%). Sixteen patients (1.4%) died. Vein ultrasound imagine was ordered for 703 patients (60.3%). ...