دورية أكاديمية

The Incidence of Pulmonary Embolism in Hospitalized Non-ICU Patients with COVID-19 during the First Wave: A Multicenter Retrospective Cohort Study in the Netherlands.

التفاصيل البيبلوغرافية
العنوان: The Incidence of Pulmonary Embolism in Hospitalized Non-ICU Patients with COVID-19 during the First Wave: A Multicenter Retrospective Cohort Study in the Netherlands.
المؤلفون: Maas AFG; VieCuri Medical Center, Department of Internal Medicine, Venlo, The Netherlands., Wyers C; VieCuri Medical Center, Department of Internal Medicine, Venlo, The Netherlands., Dielis A; VieCuri Medical Center, Department of Internal Medicine, Venlo, The Netherlands., Barten DG; VieCuri Medical Center, Department of Emergency Medicine, Venlo, The Netherlands., van Kampen VEM; VieCuri Medical Center, Department of Pulmonology, Venlo, The Netherlands., van der Krieken TE; VieCuri Medical Center, Department of Radiology, Venlo, The Netherlands., de Kruif M; Zuyderland Hospital, Department of Pulmonology, Heerlen, The Netherlands., Simsek S; Northwest Clinics, Department of Internal Medicine, Alkmaar, The Netherlands.; Department of Internal Medicine/Endocrinology, Amsterdam University Medical Centers, Amsterdam, The Netherlands., Spaetgens B; Department of Internal Medicine, Division of General Internal Medicine, Section Geriatric Medicine, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht (CARIM), Maastricht, The Netherlands., van Haaps T; Amsterdam University Medical Center, Department of Vascular Medicine, Amsterdam, The Netherlands., Appelman B; Center for Experimental and Molecular Medicine, Amsterdam UMC Location University of Amsterdam, Department(s), Amsterdam, The Netherlands., Gritters NC; Treant Zorggroep, Department of Intensive Care, Emmen, The Netherlands., Doornbos S; Treant Zorggroep, Department of Intensive Care, Emmen, The Netherlands., Moeniralam HS; St Antonius Hospital, Department of Internal Medicine, Nieuwegein, The Netherlands., Noordzij PG; St Antonius Hospital, Department of Intensive Care, Nieuwegein, The Netherlands., Reidinga A; Department of Intensive Care, Martini Ziekenhuis, Groningen, The Netherlands., Douma RA; Flevo Hospital, Department of Internal Medicine, Almere, The Netherlands., Nossent EJ; Department of Pulmonary Medicine, Free University Amsterdam, Cardiovascular Sciences Research Institute, Amsterdam, The Netherlands., Beudel M; Department of Neurology, Amsterdam Neuroscience Institute, Amsterdam, The Netherlands., Elbers P; Department of Intensive Care Medicine, Laboratory for Critical Care Computational Intelligence, Amsterdam Institute for Infection and Immunity, Vrije Universiteit, Amsterdam, The Netherlands., Middeldorp S; Department of Internal Medicine, Division of General Internal Medicine, Section Geriatric Medicine, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht (CARIM), Maastricht, The Netherlands., van Es N; Department of Internal Medicine, Division of General Internal Medicine, Section Geriatric Medicine, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht (CARIM), Maastricht, The Netherlands., van den Bergh JPW; VieCuri Medical Center, Department of Internal Medicine, Venlo, The Netherlands.; Maastricht University, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht, The Netherlands., van Osch FHM; Maastricht University, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht, The Netherlands.; VieCuri Medical Center, Department of Clinical Epidemiology, Venlo, The Netherlands.
المصدر: Journal of vascular research [J Vasc Res] 2024; Vol. 61 (3), pp. 142-150. Date of Electronic Publication: 2024 Apr 17.
نوع المنشور: Journal Article; Multicenter Study; News
اللغة: English
بيانات الدورية: Publisher: S. Karger Country of Publication: Switzerland NLM ID: 9206092 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1423-0135 (Electronic) Linking ISSN: 10181172 NLM ISO Abbreviation: J Vasc Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Basel ; New York : S. Karger, c1992-
مواضيع طبية MeSH: COVID-19*/epidemiology , COVID-19*/diagnosis , COVID-19*/complications , Pulmonary Embolism*/epidemiology , Pulmonary Embolism*/diagnostic imaging , Pulmonary Embolism*/diagnosis, Humans ; Netherlands/epidemiology ; Retrospective Studies ; Male ; Female ; Aged ; Middle Aged ; Incidence ; Risk Factors ; Aged, 80 and over ; Hospitalization ; Time Factors ; SARS-CoV-2 ; Computed Tomography Angiography
مستخلص: Introduction: During the first COVID-19 outbreak in 2020 in the Netherlands, the incidence of pulmonary embolism (PE) appeared to be high in COVID-19 patients admitted to the intensive care unit (ICU). This study was performed to evaluate the incidence of PE during hospital stay in COVID-19 patients not admitted to the ICU.
Methods: Data were retrospectively collected from 8 hospitals in the Netherlands. Patients admitted between February 27, 2020, and July 31, 2020, were included. Data extracted comprised clinical characteristics, medication use, first onset of COVID-19-related symptoms, admission date due to COVID-19, and date of PE diagnosis. Only polymerase chain reaction (PCR)-positive patients were included. All PEs were diagnosed with computed tomography pulmonary angiography (CTPA).
Results: Data from 1,852 patients who were admitted to the hospital ward were collected. Forty patients (2.2%) were diagnosed with PE within 28 days following hospital admission. The median time to PE since admission was 4.5 days (IQR 0.0-9.0). In all 40 patients, PE was diagnosed within the first 2 weeks after hospital admission and for 22 (55%) patients within 2 weeks after onset of symptoms. Patient characteristics, pre-existing comorbidities, anticoagulant use, and laboratory parameters at admission were not related to the development of PE.
Conclusion: In this retrospective multicenter cohort study of 1,852 COVID-19 patients only admitted to the non-ICU wards, the incidence of CTPA-confirmed PE was 2.2% during the first 4 weeks after onset of symptoms and occurred exclusively within 2 weeks after hospital admission.
(© 2024 The Author(s). Published by S. Karger AG, Basel.)
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فهرسة مساهمة: Keywords: COVID-19; Epidemiology; Hospital ward; Pulmonary embolism; Vascular research
تواريخ الأحداث: Date Created: 20240417 Date Completed: 20240603 Latest Revision: 20240717
رمز التحديث: 20240717
مُعرف محوري في PubMed: PMC11151976
DOI: 10.1159/000538312
PMID: 38631294
قاعدة البيانات: MEDLINE
الوصف
تدمد:1423-0135
DOI:10.1159/000538312