Reducing the Risk of Venous Thrombosis During Self-Isolation and COVID-19 Pandemic for Patients With Cancer: Focus on Home Exercises Prescription

Demirci, Ufuk; Özdemir, Hande; Demirbag-Kabayel, Derya; Ümit, Elif Gülsüm; Demir, Ahmet Muzaffer

doi:10.1177/1076029620933947

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…12,13 Since routine use of prophylactic anticoagulants on majority of the mild COVID-19 patients in the outpatient setting is not encouraged, nonpharmacological preventive strategy, such as frequent mobilization with targeted calf pump exercises and avoiding dehydration, may be reasonable. 12,15 Coincidence of arterial and venous thrombosis in COVID-19 is very rare. As far as we are concerned, there are only two publications reporting this phenomenon and none of them describe the incidence of concomitant lower extremity arterial and venous thrombosis.…”

Section: Discussionmentioning

confidence: 99%

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Catastrophic Concomitant Arterial and Venous Thrombosis in a Mild COVID-19-Positive Patient

et al. 2021

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Since its first discovery in late 2019, coronavirus disease 2019 (COVID-19) has been a global burden associated with significant morbidity and mortality. COVID-19 has been correlated with the development of hypercoagulable state that predisposes the patients to a higher risk of thromboembolism. Current evidence suggests higher incidence of thrombosis, particularly venous thrombosis, among hospitalized COVID-19 patients, mostly with critical illness. On the other hand, there is currently no data regarding the incidence of vivid thrombosis in ambulatory patients with mild COVID-19 and the incidence of concomitant arterial and venous thrombosis in COVID-19 is extremely rare. Herein, we describe catastrophic outcomes of concomitant lower limb arterial and venous thrombosis in a patient with mild COVID-19. This report highlights the occurrence of concomitant arterial and venous thrombosis in ambulatory setting and that this phenomenon resulted in catastrophic clinical consequences.

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Section: Discussionmentioning

confidence: 99%

“…12 13 Since routine use of prophylactic anticoagulants on majority of the mild COVID-19 patients in the outpatient setting is not encouraged, nonpharmacological preventive strategy, such as frequent mobilization with targeted calf pump exercises and avoiding dehydration, may be reasonable. 12 15…”

Section: Discussionmentioning

confidence: 99%

Catastrophic Concomitant Arterial and Venous Thrombosis in a Mild COVID-19-Positive Patient

et al. 2021

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“…17 In our study, the regular exercise rate was very low among patients in both groups. As Demirci et al 18 reported, self-isolation created a risky environment for patients with cancer, a high-risk group, due to self-isolation during the current pandemic. Herein, we would like to highlight once again the beneficial role of exercise and mobilization to prevent the immobilityrelated complications.…”

Section: Discussionmentioning

confidence: 99%

Increased deep vein thrombosis cases during the COVID-19 quarantine

Karaali¹,

Çiloğlu²,

Demïrtürk³

et al. 2020

Phlebology

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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.

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“…Exhaustive exercise programs above capacity have been associated with increased thromboembolism in elderly and obese patients [29]. Some sample exercises are given below (programs should be individualized and their intensities determined) [30,31]:…”

Section: Exercisementioning

confidence: 99%

Physical Medicine and Rehabilitation Approaches in Thrombosis Associated With Covid-19

Koçyiğit

Akyol

2021

CAJMHE

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An increasing number of publications have supported the determination of thrombosis associated with coronavirus disease 2019 (COVID-19). Despite prophylactic drug applications, post-COVID-19 thrombosis cannot be completely prevented. Thrombosis becomes a complex problem that is difficult to avoid, particularly in intensive care patients. It is also possible to see cases of thromboembolism secondary to quarantine and home isolation. In addition to the classical pathophysiological mechanisms in Virchow’s triad, more complex processes specific to COVID-19 may also trigger thrombosis. The aims of this review were to describe physical medicine and rehabilitation practices that can be applied in addition to medical recommendations for thrombosis in COVID-19 patients, and to explain the specific features and mechanism of action of these methods. This process, which starts with education sessions, should continue to reduce immobility as much as possible. Personalized exercise programs should be recommended after evaluating the individual’s condition, exercise history, risk of falling, and comorbid diseases. In parallel with technological progress, more innovative devices have been developed and thus mechanical compression methods and neuromuscular electrical stimulation have become available for this purpose. The most important features of physical medicine and rehabilitation practices are the relatively low cost and the low incidence of complications.

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Reducing the Risk of Venous Thrombosis During Self-Isolation and COVID-19 Pandemic for Patients With Cancer: Focus on Home Exercises Prescription

Cited by 4 publications

References 5 publications

Catastrophic Concomitant Arterial and Venous Thrombosis in a Mild COVID-19-Positive Patient

Catastrophic Concomitant Arterial and Venous Thrombosis in a Mild COVID-19-Positive Patient

Increased deep vein thrombosis cases during the COVID-19 quarantine

Physical Medicine and Rehabilitation Approaches in Thrombosis Associated With Covid-19

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