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Rivista sulle Malattie delle Vene e dei Linfatici
Acta Phlebologica 2009 Dicembre;10(3):75-8
Tromboembolismo venoso nei pazienti anziani ospedalizzati
Avram R. 1, Balint M. 1, Avram J. 2, Parv F. 1, Ciocarlie T. 1, Moga V. D. 1, Branzan L. 1, Avram I. 2
1 Cardiology Clinic, County Hospital Timisoara, Romania
2 1st Surgery Clinic, County Hospital Timisoara, Romania
AIM: Although age is considered a minor risk factor for venous thromboembolism (VTE), the statistics show a direct increase related to it. Our aim was the study of VTE cases, the assessment of age as a risk factor, isolated or associated, in patients hospitalized in a Cardiology Clinic.
METHODS: We analyzed the patients hospitalized in the last 3 years, recording demographic data, clinical exam, associated pathology, in patients with diagnosed pulmonary thromboembolism (PTE) suggested by the integrated strategy: clinical risk, D-Dimer, ultrasonography and confirmed by thoracic computed tomography.
RESULTS: Between 2005-2008 we treated 62 patients in total (20 men and 42 women), with average age 58.0±15.78. We divided the patients in 2 subsets: over 60-year-old (43 patients) and under 60-year-old (19 patients), major clinical forms 27% vs. 36.31%, moderate forms 47% vs. 36.35%, microembolism 36% vs. 26%. Four patients died, 3 were over 60-year-old. Associated with the 2 subset: cardiac failure 63% vs. 31%, deep venous thrombosis (DVT) 68% vs. 53%, obesity 69% vs. 42%, history of PTE 56.25% in elderly men vs. 42% in women over 60-year-old. Dyspnea was the most frequent symptom 88%, followed by anxiety 58%, hypotension and syncope 36%.
CONCLUSIONS. The incidence of VTE is significantly increased with age (19 patients vs. 43 over 60-year-old patients), especially in men, but more frequently in women, especially the moderate form and microembolism. The major clinical risk factors were history of PE and DVT and the major comorbidities were heart failure, stroke and neoplasm. The necessity for prophylaxis is justifiable in this group of patienst, in which VTE occurs as a complication in patients hospitalized for a different pathology.