Evaluation of Lower Extremity Venous Doppler Ultrasonography Outcomes Before And After The COVID-19 Pandemic; A Retrospective Study

Mustafa Boğan, Melih Bal, Tarık Gürdal, Kudret Selki, A. Kaya, Özkan Kömürcü, H. B. Altınsoy
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Abstract

Objectives: COVID-19 PCR positivity has been reported among asymptomatic individuals and asymptomatic people are also considered to be at risk for thromboembolic events. The aim of this study was to compare the results of patients who underwent lower extremity Doppler ultrasonography (DUS) with a preliminary diagnosis of deep vein thrombosis (DVT) before and after the pandemic, regardless of COVID-19 PCR testing. Methods: Patients who underwent RDUS in the Department of Radiology during a total period of 35 months (01/08/2018 - 01/07/2021) were analyzed. A total of 599 patients underwent RDUS during the study period. Results: More pozitif DVT findings were observed after the pandemic (n=43, 18.3%, p=0.005) (only two of these patients had a positive COVID-19 PCR result). History of hospitalization in the last three months, D-dimer, PLT, MPV, WBC, neutrophil count, lymphocyte count, NLR values, comorbidity and antiaggregant use were not different (p>0.05). Conclusion: Even individuals (especially elderly individuals) who have been exposed to the virus during the pandemic but who do not show symptoms are at risk of DVT.
评估 COVID-19 大流行前后的下肢静脉多普勒超声波检查结果;一项回顾性研究
目的:无症状者中有 COVID-19 PCR 阳性的报道,而无症状者也被认为是血栓栓塞事件的高危人群。本研究旨在比较在大流行前后接受下肢多普勒超声检查(DUS)并初步诊断为深静脉血栓(DVT)的患者的结果,无论其是否接受了 COVID-19 PCR 检测。方法分析在 35 个月期间(2018 年 8 月 1 日至 2021 年 7 月 1 日)在放射科接受 RDUS 检查的患者。研究期间共有 599 名患者接受了 RDUS 检查。结果:大流行后发现更多的深静脉血栓(43 例,18.3%,P=0.005)(其中只有 2 例患者的 COVID-19 PCR 结果呈阳性)。过去三个月的住院史、D-二聚体、PLT、MPV、白细胞、中性粒细胞计数、淋巴细胞计数、NLR 值、合并症和抗聚集药的使用均无差异(P>0.05)。结论即使是在大流行期间接触过病毒但未出现症状的人(尤其是老年人)也有深静脉血栓形成的风险。
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