Summary:Deep vein thrombosis(DVT)and pulmonary embolism(PE)are two entities of venous thromboembolism(VTE)whose incidence is difficult to assess.Objective:This paper aims to evaluate the prevalence of venous thromboem...Summary:Deep vein thrombosis(DVT)and pulmonary embolism(PE)are two entities of venous thromboembolism(VTE)whose incidence is difficult to assess.Objective:This paper aims to evaluate the prevalence of venous thromboembolism.Patients and Methods:This was a descriptive cross-sectional study with prospective collection,over 12 months from May 1,2023 to April 30,2024.Results:We admitted 627 patients including 6 cases of VTE,with a prevalence of 096%.The average age was 49.67±17.58 years with extremes of 30 to 71 years,the sex ratio 0.2,and housewives represented 33.3%.The transient risk factors(FDR)were prolonged immobilization≥05 days(05 cases)83.3%,major surgery(01 case)16.7%,spinal cord trauma(01 case)16.7%,central venous catheter(04 cases)66.6%;the permanent risk factors(FDR)were obesity(04 cases)66.6%,age(3 cases)50%,high blood pressure(hypertension)(3 cases)50%,cancer(01 case)16.7%.The main clinical signs were dyspnea(100%),tachycardia(33.3%),chest pain(33.3%),and Homans sign with increased local heat(01 cases)16.7%.The diagnoses retained were PE(04 cases)83.3%,PE+DVT(01 case)16.7% and DVT(01 case)16.7%.All patients were placed on oxygen therapy,(02 cases)intubated and ventilated,(02 cases)High Flow Oxygenation,(02 cases)on amines such as dobutamine+norepinephrine and norepinephrine alone(83.3%)of patients were placed on direct oral anticoagulants(DOACs)and 16.7%on low molecular weight heparin(LMWH).The average length of stay was 7.3±3.33 days with extremes of 4 to 13 days and the lethality of(03 cases)50% of which(02 cases)had sPESI≥2.Conclusion:The diagnosis and management of VTE remains difficult and responsible for significant morbidity and mortality.展开更多
文摘Summary:Deep vein thrombosis(DVT)and pulmonary embolism(PE)are two entities of venous thromboembolism(VTE)whose incidence is difficult to assess.Objective:This paper aims to evaluate the prevalence of venous thromboembolism.Patients and Methods:This was a descriptive cross-sectional study with prospective collection,over 12 months from May 1,2023 to April 30,2024.Results:We admitted 627 patients including 6 cases of VTE,with a prevalence of 096%.The average age was 49.67±17.58 years with extremes of 30 to 71 years,the sex ratio 0.2,and housewives represented 33.3%.The transient risk factors(FDR)were prolonged immobilization≥05 days(05 cases)83.3%,major surgery(01 case)16.7%,spinal cord trauma(01 case)16.7%,central venous catheter(04 cases)66.6%;the permanent risk factors(FDR)were obesity(04 cases)66.6%,age(3 cases)50%,high blood pressure(hypertension)(3 cases)50%,cancer(01 case)16.7%.The main clinical signs were dyspnea(100%),tachycardia(33.3%),chest pain(33.3%),and Homans sign with increased local heat(01 cases)16.7%.The diagnoses retained were PE(04 cases)83.3%,PE+DVT(01 case)16.7% and DVT(01 case)16.7%.All patients were placed on oxygen therapy,(02 cases)intubated and ventilated,(02 cases)High Flow Oxygenation,(02 cases)on amines such as dobutamine+norepinephrine and norepinephrine alone(83.3%)of patients were placed on direct oral anticoagulants(DOACs)and 16.7%on low molecular weight heparin(LMWH).The average length of stay was 7.3±3.33 days with extremes of 4 to 13 days and the lethality of(03 cases)50% of which(02 cases)had sPESI≥2.Conclusion:The diagnosis and management of VTE remains difficult and responsible for significant morbidity and mortality.
