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Tytuł pozycji:

Trends of Inpatient Venous Thromboembolism in United States Before and After the Surgeon General's Call to Action.

Tytuł:
Trends of Inpatient Venous Thromboembolism in United States Before and After the Surgeon General's Call to Action.
Autorzy:
Mehta KD; Division of Hematology-Oncology, University of Kansas Medical Center, Kansas City, Kansas. Electronic address: .
Siddappa Malleshappa SK; Division of Hematology-Oncology, Baystate Medical Center, Springfield, Massachusetts.
Patel S; Division of Neurology, University of Connecticut, Hartford, Connecticut.
Giri S; Division of Hematology-Oncology, Yale New Haven Hospital, New Haven, Connecticut.
Wang H; University of Pittsburgh, Pittsburgh, Pennsylvania.
Smith R; Division of Hematology-Oncology, Univerisity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Parikh RA; Division of Hematology-Oncology, University of Kansas Medical Center, Kansas City, Kansas.
Źródło:
The American journal of cardiology [Am J Cardiol] 2019 Sep 15; Vol. 124 (6), pp. 960-965. Date of Electronic Publication: 2019 Jun 26.
Typ publikacji:
Journal Article; Multicenter Study
Język:
English
Imprint Name(s):
Original Publication: New York, NY : Excerpta Medica
MeSH Terms:
United States Dept. of Health and Human Services*
Hospitalization/*statistics & numerical data
Inpatients/*statistics & numerical data
Venous Thromboembolism/*epidemiology
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Morbidity/trends ; Retrospective Studies ; United States/epidemiology ; Venous Thromboembolism/prevention & control ; Young Adult
Entry Date(s):
Date Created: 20190721 Date Completed: 20200304 Latest Revision: 20200304
Update Code:
20240105
DOI:
10.1016/j.amjcard.2019.06.015
PMID:
31324359
Czasopismo naukowe
Venous thromboembolism (VTE) is an important cause of morbidity and mortality in the United States (US). The increasing rates of VTE in the US resulted in the surgeon general issuing a call to action to reduce VTE in 2008. The objective of our study was to analyze the national trends of inpatient VTE in the US from 2004 to 2013 (5 years before and after 2008). We used the dataset National Inpatient Sample, Healthcare Cost and Utilization Project and measured trends of inpatient VTE by annual % change using joinpoint regression software. From 2004 to 2013 the National Inpatient Sample contained data on 78 million hospitalizations (weighted n = 385 million). In these 1.6 million had a diagnosis of VTE (2.0%, weighted n = 7.7 million) including 1.2 million with deep venous thrombosis (DVT) (1.53%, weighted n = 5.9 million) and 588,878 with pulmonary embolism (PE) (0.74%, weighted n = 2.8 million). Joinpoint regression analysis showed that rates of DVT and PE are increasing consistently from 2004 to 2013(1.27% to 1.80% for DVT and 0.52% to 0.92% for PE). The increasing rates of DVT and PE were consistent in all subgroups except few exceptions. In conclusion inpatient VTE rates continue to rise even after 5 years from the surgeon general's a call to action except in certain high-risk patients. Further research is needed to curb the VTE in patients especially among those perceived to be at lower risk of VTE.
(Copyright © 2019 Elsevier Inc. All rights reserved.)

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