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10.1002/rth2.12376

http://scihub22266oqcxt.onion/10.1002/rth2.12376
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suck abstract from ncbi


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pmid32685893      Res+Pract+Thromb+Haemost 2020 ; 4 (5): 842-847
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  • Venous thromboembolism in critically Ill patients with COVID-19: Results of a screening study for deep vein thrombosis #MMPMID32685893
  • Longchamp A; Longchamp J; Manzocchi-Besson S; Whiting L; Haller C; Jeanneret S; Godio M; Garcia Martinez JJ; Bonjour T; Caillat M; Maitre G; Thaler JM; Pantet R; Donner V; Dumoulin A; Emonet S; Greub G; Friolet R; Robert-Ebadi H; Righini M; Sanchez B; Delaloye J
  • Res Pract Thromb Haemost 2020[Jul]; 4 (5): 842-847 PMID32685893show ga
  • BACKGROUND: The rapid spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and coronavirus disease 2019 (COVID-19), has caused more than 3.9 million cases worldwide. Currently, there is great interest to assess venous thrombosis prevalence, diagnosis, prevention, and management in patients with COVID-19. OBJECTIVES: To determine the prevalence of venous thromboembolism (VTE) in critically ill patients with COVID-19, using lower limbs venous ultrasonography screening. METHODS: Beginning March 8, we enrolled 25 patients who were admitted to the intensive care unit (ICU) with confirmed SARS-CoV-2 infections. The presence of lower extremity deep vein thrombosis (DVT) was systematically assessed by ultrasonography between day 5 and 10 after admission. The data reported here are those available up to May 9, 2020. RESULTS: The mean (+/- standard deviation) age of the patients was 68 +/- 11 years, and 64% were men. No patients had a history of VTE. During the ICU stay, 8 patients (32%) had a VTE; 6 (24%) a proximal DVT, and 5 (20%) a pulmonary embolism. The rate of symptomatic VTE was 24%, while 8% of patients had screen-detected DVT. Only those patients with a documented VTE received a therapeutic anticoagulant regimen. As of May 9, 2020, 5 patients had died (20%), 2 remained in the ICU (8%), and 18 were discharged (72%). CONCLUSIONS: In critically ill patients with SARS-CoV-2 infections, DVT screening at days 5-10 of admission yielded a 32% prevalence of VTE. Seventy-five percent of events occurred before screening. Earlier screening might be effective in optimizing care in ICU patients with COVID-19.
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