دورية أكاديمية
Predicting Post-Thrombotic Syndrome with Ultrasonographic Follow-Up after Deep Vein Thrombosis: A Systematic Review and Meta-Analysis.
| العنوان: | Predicting Post-Thrombotic Syndrome with Ultrasonographic Follow-Up after Deep Vein Thrombosis: A Systematic Review and Meta-Analysis. |
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| المؤلفون: | Dronkers CEA; Department of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden University, Leiden, The Netherlands., Mol GC; Department of Internal Medicine, Meander Medical Center, Amersfoort, The Netherlands., Maraziti G; Internal and Cardiovascular Medicine-Stroke Unit, University of Perugia, Perugia, Italy., van de Ree MA; Department of Internal Medicine, Diakonessenhuis Hospital, Utrecht, The Netherlands., Huisman MV; Department of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden University, Leiden, The Netherlands., Becattini C; Internal and Cardiovascular Medicine-Stroke Unit, University of Perugia, Perugia, Italy., Klok FA; Department of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden University, Leiden, The Netherlands. |
| المصدر: | Thrombosis and haemostasis [Thromb Haemost] 2018 Aug; Vol. 118 (8), pp. 1428-1438. Date of Electronic Publication: 2018 Jul 04. |
| نوع المنشور: | Journal Article; Meta-Analysis; Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Thieme Country of Publication: Germany NLM ID: 7608063 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2567-689X (Electronic) Linking ISSN: 03406245 NLM ISO Abbreviation: Thromb Haemost Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Stuttgart : Thieme Original Publication: Stuttgart, Schattauer. |
| مواضيع طبية MeSH: | Ultrasonography*, Postthrombotic Syndrome/*etiology , Venous Thrombosis/*complications , Venous Thrombosis/*diagnostic imaging, Aged ; Clinical Decision-Making ; Female ; Humans ; Male ; Middle Aged ; Patient Selection ; Postthrombotic Syndrome/prevention & control ; Predictive Value of Tests ; Prognosis ; Reproducibility of Results ; Risk Assessment ; Risk Factors ; Stockings, Compression ; Time Factors ; Venous Thrombosis/therapy |
| مستخلص: | Background: Post-thrombotic syndrome (PTS) is a common and potential severe complication of deep venous thrombosis (DVT). Elastic compression stocking therapy may prevent PTS if worn on a daily basis, but stockings are cumbersome to apply and uncomfortable to wear. Hence, identification of predictors of PTS may help physicians to select patients at high risk of PTS. Aims: This article identifies ultrasonography (US) parameters assessed during or after treatment of DVT of the leg, that predict PTS. Methods: This is a systematic review and meta-analysis study. Databases were searched for prospective studies including consecutive patients with DVT who received standardized treatment, had an US during follow-up assessing findings consistent with vascular damage after DVT and had a follow-up period of at least 6 months for the occurrence of PTS assessed by a standardized protocol. Results: The literature search revealed 1,156 studies of which 1,068 were irrelevant after title and abstract screening by three independent reviewers. After full-text screening, 12 relevant studies were included, with a total of 2,684 analysed patients. Two US parameters proved to be predictive of PTS: residual vein thrombosis, for a pooled odds ratio (OR) of 2.17 (95% confidence interval [CI], 1.79-2.63) and venous reflux at the popliteal level, for a pooled OR of 1.34 (95% CI, 1.03-1.75). Conclusion: The US features reflux and residual thrombosis measured at least 6 weeks after DVT predict PTS. Whether these features may be used to identify patients who may benefit from compression therapy remains to be assessed in further studies. Competing Interests: None. (Georg Thieme Verlag KG Stuttgart · New York.) |
| تواريخ الأحداث: | Date Created: 20180705 Date Completed: 20190924 Latest Revision: 20190925 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1055/s-0038-1666859 |
| PMID: | 29972864 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2567-689X |
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| DOI: | 10.1055/s-0038-1666859 |