Abstract
Background: Upper extremity deep venous thrombosis (UEDVT) incidence and complications are increasing. We evaluated the risk factors and management for patients diagnosed with an UEDVT. Methods: All patients with an UEDVT in 2014 were evaluated for demographics, thrombosis characteristics, risk factors, PADUA risk score, outcomes and management. Results: Ninety UEDVT patients with mean age 57 years, 54.4% maleS, 31% obese (BMI ≥ 30 kg/m2), 26.7% prior VTE, 31.1% readmitted within 30 days. Median length of stay was 14 versus hospital’s 5-7days. 87.8% (n=79) were high risk on admission, 69.6% on anticoagulation when diagnosed. Risk factors: Immobility for 3 days 75 (83.3%), Age 50%) were decreased mobility, younger age, central venous catheters, males. UEDVT management was suboptimal and warrants standardization.
Highlights
Upper extremity deep venous thrombosis (UEDVT) incidence and complications are increasing
Ninety UEDVT patients with mean age 57 years, 54.4% maleS, 31% obese (BMI ≥ 30 kg/m2), 26.7% prior venous thromboembolism (VTE), 31.1% readmitted within 30 days
Risk factors: Immobility for 3 days 75 (83.3%), Age
Summary
Upper extremity deep venous thrombosis characteristics, risk factors, associated complications, and management at an urban tertiary care hospital were retrospectively reviewed from the health system’s electronic medical record. Upper extremity deep venous thrombosis cases that occurred in calendar year 2014 were identified from the institution’s surveillance database of the hospital acquired conditions. The study team acquired the UEDVT patient list with basic information including demographics, admitting service, hospitalization information (length of stay, readmissions), VTE information (date of event and anticoagulation at the time of event) from the surveillance database. The study team verified this information and collected additional variables to include body mass index (BMI), UEDVT location (proximal or distal vein), laterality, indication for insertion, and associated lower extremity DVT, PE and death. Practice patterns were characterized by identifying anticoagulation details at the time of UEDVT (i.e. type of anticoagulant, prophylactic or therapeutic dosing), management at the time of discharge, rate of obtaining lower extremity venous duplex Doppler ultrasonography, and if catheters were extracted after the diagnoses of UEDVT
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Journal of Cancer Science and Clinical Therapeutics
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
