Increased deep vein thrombosis cases during the COVID-19 quarantine

Abstract

Objective The aim of this study was to compare the number of deep vein thrombosis (DVT) cases during the quarantine period for COVID-19 to that of the last year. Methods This study was conducted as a single-center and retrospective study. All hospital admissions during April 2020 and May 2020 were screened from the hospital records, and DVT cases were recorded. Likewise, all hospital admissions during April 2019 and May 2019 were screened, and DVT cases were noted. DVT cases of both years were compared. Results Among 480931 patients admitted to our hospital in April 2019 and May 2019, DVT was detected in 82 patients (0.017%) (47 males, 35 females) with a mean age of 56.99 ± 9.1 years (ranges 39 to 79 years). Besides, among 145101 patients admitted to our hospital in April 2020 and May 2020, DVT was detected in 123 patients (0.084%) (51 males, 72 females) with a mean age of 58.64 ± 8.9 years (ranges 40 to 83 years). Despite the decrease in the total number of patients admitted to the hospital, there was a significant increase in the number of DVT patients. Interestingly, there were only two symptomatic pulmonary-embolism cases in the 2019 period, whereas there were seven symptomatic pulmonary embolisms secondary to DVT in the 2020 period. Unfortunately, one patient died due to pulmonary embolism secondary to DVT in 2020. The previous history of DVT was remarkable in patients admitted during the COVID-19 confinement. Conclusion In conclusion, COVID-19 confinement seems to be associated with increased rates of DVT. Strict preventive measures such as exercise training or prophylactic drug use should be considered to prevent immobility-related DVT during the COVID-19 quarantine.

Deep Vein Thrombosis : An Unusual Presentation in COVID-19 Patients-Our Experience and Comparison with Non COVID-19 Deep Vein Thrombosis Cases

“…21 In a study done done in Italy, among 200 patients, 15% of patients with COVID-19 had DVT. 22 Similarly another study done in China has stated that 41.5% of patients with DVT were COVID positive patients. 23 A study done in Turkey amongst COVID-19 positive people in quarantine period, there was increased prevalence of DVT compared to normal population.…”

“Lockdown-thrombosis”—an unexpected problem of the COVID-19 pandemic?

“…This study however suggested immobility, defined as quarantine in the study, as a compounding factor in patients who already had strong risk factors for VTE rather than prolonged seated immobility as an independent predictor on its own 9 . Secondly, a retrospective study by Karaali et al reported an increase in incidence of deep vein thrombosis (DVT) during its lockdown compared to the same period the year before (0.084% vs. 0.017%) and suggested that quarantine measures could have led to the increase 10 .…”

Trombose venosa profunda em pacientes com COVID-19:

“…Fatores que compõem à tríade de Virchowhipercoagulopatia, estase e lesão endotelial -são predisponentes para a TVP e devem ser investigados na história da doença. Além dos fatores de risco para TVP citados, história prévia de TVP, malignidade, história de cirúrgia, trauma, gravidez e obesidade foram observados em um estudo realizado na Turquia 19 . Um estudo realizado com pacientes diagnosticados com COVID-19 e que desenvolveram uma TVP, evidenciou que o principal acometimento vacular foi dos membros inferiores, sendo 34,8% em veias proximais e 65,2% em veias, havendo consenso entre os estudos sobre serem os membros inferiores a principal localização da TVP 20 .…”