Trombosis venosa profunda de miembros superiores en los pacientes hospitalizados portadores y no portadores de catéter venoso central: un estudio de cohortes retrospectivo
José Ángel Novalbos-Partida , José Antonio Rueda-Camino , María Angelina-García , M. Dolores Joya-Seijo , Davinia Trujillo-Luque , Raquel Barba-Martín
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引用次数: 0
Abstract
Objectives
Prognostic differences between central venous catheters (CVC) carriers and non-carriers, who have upper extremity deep vein thrombosis (UEDVT), have been described; however, evidence in hospitalized patients is limited.
Materials and methods
This retrospective cohort study included hospitalized patients from March 2012 to March 2023 with UEDVT, classified into CVC-associated and non-CVC-associated UEDVT groups. Rates of thrombotic recurrence, hemorrhage, post-thrombotic syndrome, and death from pulmonary embolism were analyzed using Kaplan-Meier curves and Cox proportional hazards models.
Results
A total of 135 patients were included (76 with CVC and 59 without CVC), with a mean age of 67 ± 15 years and 44% female. No significant differences were observed in the incidence of the combined endpoint between CVC non-carriers and carriers (5.45 vs 6.74 per 1000 patient-months respectively; HR: 1.26; 95% CI: 0.51-3.06). After multivariable adjustment, no significant differences in risk were detected (HR: 1.09; 95% CI: 0.44-2.72).
Conclusions
There are no significant prognostic differences between patients with and without CVC hospitalized for UEDVT.
期刊介绍:
Medicina Clínica, fundada en 1943, es una publicación quincenal dedicada a la promoción de la investigación y de la práctica clínica entre los especialistas de la medicina interna, así como otras especialidades. Son características fundamentales de esta publicación el rigor científico y metodológico de sus artículos, la actualidad de los temas y, sobre todo, su sentido práctico, buscando siempre que la información sea de la mayor utilidad en la práctica clínica.