Outcome Analysis for Treatment in 100 Patients with Deep Vein Thrombosis

Abstract

The treatment of acute deep vein thrombosis has been the subject of much research aimed at delineat ing the safest and most effective approach to diagnosis and treatment. Studies regarding long-term treatment have been limited by the narrow scope of laboratory and clinical analyses of many patients. In this study of 100 patients with a history of deep vein thrombosis, treated on an outpatient basis by a diverse group of clinicians, follow-up data were retrieved in order to determine the outcomes of various approaches to acute and long-term care. Among individuals followed for > 1 year, in only two patients (2%) was death attributable to a thrombotic event related to the etiology of the first episode of deep vein thrombosis. Most deceased patients succumbed to unrelated causes (11%). Among the 77 survivors, most (52%) received long-term antiplatelet therapy. All individ uals with a plasma coagulation defect, whether inherited or acquired, received anticoagulation with either heparin or warfarin. Since the long-term clinical outcome of most patients with deep vein thrombosis is dependent upon the underlying factor predisposing to thrombosis, the most important treatment decision is to select the therapy most likely to provide benefit without causing hemorrhage. An tiplatelet therapy, heparin, or warfarin may be chosen as appropriate for the individual patient.

Tromboprofilaxia e bloqueio regional

“…Approximately 80% to 90% of times, thrombosis may be identified by laboratory evaluation 15 . DVT-related factors may be divided into clinical factors and hereditary or acquired plasma defects [16][17][18] . Clinical DVT-related conditions are: venous stasis, sepsis, postoperative period, neoplasias, trauma, congestive heart failure, nephrotic syndrome, venous failure, obesity, burns, elder age, estrogen-containing drugs and anatomic vascular problems 19 .…”

“…ETIOLOGIA DA TROMBOSE VENOSA PROFUNDA Cerca de 80 a 90% das causas de tromboses podem ser identificadas através de exames complementares 15 . Os fatores etiológicos associados à TVP podem ser divididos em fatores clínicos e defeitos plasmáticos hereditários ou adquiridos [16][17][18] . As condições clínicas relacionadas à TVP são: estase venosa, septicemia, pós-operatório, neoplasias, traumatismos, insuficiência cardíaca congestiva, síndrome nefrótica, insuficiência venosa, obesidade, queimaduras, idade avançada, uso de medicamentos contendo estrógeno e problemas anatômicos vasculares 19 .…”