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Venous thromboembolism in critically ill patients affected by ARDS related to COVID-19 in Northern-West Italy.

Identifieur interne : 000079 ( Main/Exploration ); précédent : 000078; suivant : 000080

Venous thromboembolism in critically ill patients affected by ARDS related to COVID-19 in Northern-West Italy.

Auteurs : Y. Longhitano [Italie] ; F. Racca ; C. Zanza ; A. Piccioni ; A. Audo ; M. Muncinelli ; R. Santi ; D. Kozel ; C. Geraci ; M. Taverna ; V. Bonato ; F. Cassini ; F. Franceschi

Source :

RBID : pubmed:32965007

Descripteurs français

English descriptors

Abstract

OBJECTIVE

Coronavirus disease 2019 (COVID-19) is an emerging infectious disease that was first reported in Wuhan, China, and has subsequently spread worldwide. An association between increased venous thromboembolism in patients with pneumonia-related to COVID-19 has not yet been well described.

PATIENTS AND METHODS

We aimed to illustrate cases of pulmonary thromboembolism in patients with acute respiratory distress syndrome related to COVID-19 treated in our intensive care unit. The medical records of patients affected by COVID-19 with acute respiratory distress syndrome in our institute from 1/3/2020 to 31/3/2020 were retrospectively reviewed.

RESULTS

Our center registered a high prevalence of thromboembolic events among 62 patients affected by acute respiratory distress syndrome related to COVID-19 despite a regular antithrombotic prophylaxis. Out of these, 32 patients were transferred to other hospitals, and 30 were treated in our center. Venous thromboembolism was registered in 12 (19.3%) cases. In particular, 11 diagnoses of pulmonary embolism and 1 diagnosis of deep vein thrombosis were formulated. We described a case series of venous thromboembolism in nine patients treated in our Intensive Care Unit (ICU). Main pulmonary arteries were always involved in these patients. None of them died.

CONCLUSIONS

In conclusion, critically ill patients with ARDS related to COVID-19 may have an increased risk of VTE that could be a leading cause of mortality. These patients require a high index of clinical suspicion and an accurate diagnostic approach, in order to immediately start an appropriate anticoagulant treatment.


DOI: 10.26355/eurrev_202009_22864
PubMed: 32965007


Affiliations:


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Le document en format XML

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<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (virology)</term>
<term>Critical Illness (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Intensive Care Units (MeSH)</term>
<term>Italy (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (diagnosis)</term>
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<term>Respiratory Distress Syndrome, Adult (diagnostic imaging)</term>
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<term>Embolie pulmonaire (complications)</term>
<term>Embolie pulmonaire (diagnostic)</term>
<term>Embolie pulmonaire (imagerie diagnostique)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (virologie)</term>
<term>Italie (MeSH)</term>
<term>Maladie grave (MeSH)</term>
<term>Mâle (MeSH)</term>
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<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (virologie)</term>
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<term>Syndrome de détresse respiratoire de l'adulte (imagerie diagnostique)</term>
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<term>Thrombose veineuse (complications)</term>
<term>Thrombose veineuse (diagnostic)</term>
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<term>Pneumonia, Viral</term>
<term>Pulmonary Embolism</term>
<term>Respiratory Distress Syndrome, Adult</term>
<term>Venous Thromboembolism</term>
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<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Pulmonary Embolism</term>
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<term>Embolie pulmonaire</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
<term>Thromboembolisme veineux</term>
<term>Thrombose veineuse</term>
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<term>Pneumopathie virale</term>
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<term>Pneumonia, Viral</term>
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<term>Aged</term>
<term>Critical Illness</term>
<term>Female</term>
<term>Humans</term>
<term>Intensive Care Units</term>
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<term>Middle Aged</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Infections à coronavirus</term>
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<b>OBJECTIVE</b>
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<p>Coronavirus disease 2019 (COVID-19) is an emerging infectious disease that was first reported in Wuhan, China, and has subsequently spread worldwide. An association between increased venous thromboembolism in patients with pneumonia-related to COVID-19 has not yet been well described.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PATIENTS AND METHODS</b>
</p>
<p>We aimed to illustrate cases of pulmonary thromboembolism in patients with acute respiratory distress syndrome related to COVID-19 treated in our intensive care unit. The medical records of patients affected by COVID-19 with acute respiratory distress syndrome in our institute from 1/3/2020 to 31/3/2020 were retrospectively reviewed.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Our center registered a high prevalence of thromboembolic events among 62 patients affected by acute respiratory distress syndrome related to COVID-19 despite a regular antithrombotic prophylaxis. Out of these, 32 patients were transferred to other hospitals, and 30 were treated in our center. Venous thromboembolism was registered in 12 (19.3%) cases. In particular, 11 diagnoses of pulmonary embolism and 1 diagnosis of deep vein thrombosis were formulated. We described a case series of venous thromboembolism in nine patients treated in our Intensive Care Unit (ICU). Main pulmonary arteries were always involved in these patients. None of them died.</p>
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<p>
<b>CONCLUSIONS</b>
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<p>In conclusion, critically ill patients with ARDS related to COVID-19 may have an increased risk of VTE that could be a leading cause of mortality. These patients require a high index of clinical suspicion and an accurate diagnostic approach, in order to immediately start an appropriate anticoagulant treatment.</p>
</div>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Coronavirus disease 2019 (COVID-19) is an emerging infectious disease that was first reported in Wuhan, China, and has subsequently spread worldwide. An association between increased venous thromboembolism in patients with pneumonia-related to COVID-19 has not yet been well described.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">We aimed to illustrate cases of pulmonary thromboembolism in patients with acute respiratory distress syndrome related to COVID-19 treated in our intensive care unit. The medical records of patients affected by COVID-19 with acute respiratory distress syndrome in our institute from 1/3/2020 to 31/3/2020 were retrospectively reviewed.</AbstractText>
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