Risk Factors of Unfavorable Outcomes, Major Bleeding, and All-Cause Mortality in Patients with Venous Thromboembolism

Purpose: This study aimed to analyze the clinical outcomes of venous thromboembolism (VTE) patients and identify the risk factors for VTE-related unfavorable outcomes, major bleeding, and 30-day all-cause mortality. Materials and Methods : From January 2016 to December 2020, 198 patients with confir...

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Main Authors: Han Young Lee, Tae Hoon Yeo, Tae Kyung Heo, Young Gyu Cho, Dong Hui Cho, Kyung Bok Lee
Format: Article
Language:English
Published: Medrang 2021-12-01
Series:Vascular Specialist International
Subjects:
Online Access:https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.210041
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author Han Young Lee
Tae Hoon Yeo
Tae Kyung Heo
Young Gyu Cho
Dong Hui Cho
Kyung Bok Lee
author_facet Han Young Lee
Tae Hoon Yeo
Tae Kyung Heo
Young Gyu Cho
Dong Hui Cho
Kyung Bok Lee
author_sort Han Young Lee
collection DOAJ
description Purpose: This study aimed to analyze the clinical outcomes of venous thromboembolism (VTE) patients and identify the risk factors for VTE-related unfavorable outcomes, major bleeding, and 30-day all-cause mortality. Materials and Methods : From January 2016 to December 2020, 198 patients with confirmed VTE were enrolled. Potential risk factors for unfavorable outcomes, major bleeding, and all-cause mortality were analyzed. Results : VTE-related unfavorable outcomes developed in 13.1%, while 30-day all-cause mortality was 8.6%. In the multivariate analysis, a pulse ≥110/min and respiratory rate ≥30/min were statistically significant predictors for VTE-related unfavorable outcomes. Diabetes was a significant risk factor for major bleeding. In addition, a history of malignancy, no anticoagulation treatment, and need for mechanical ventilation were significant predictors of all-cause mortality. Conclusion : VTE-related mortality and morbidity rates remained high. In cases of tachycardia and tachypnea, early aggressive treatment is needed to prevent unfavorable outcomes. Patients with risk factors should be closely monitored.
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spelling doaj.art-ae21a5ffe60c4f5a9d72fc7dd42c11992023-01-06T01:29:53ZengMedrangVascular Specialist International2288-79702288-79892021-12-013710.5758/vsi.210041vsi.210041Risk Factors of Unfavorable Outcomes, Major Bleeding, and All-Cause Mortality in Patients with Venous ThromboembolismHan Young Lee0Tae Hoon Yeo1Tae Kyung Heo2Young Gyu Cho3Dong Hui Cho4Kyung Bok Lee5Department of Surgery, Seoul Medical Center, Seoul, KoreaDepartment of Surgery, Seoul Medical Center, Seoul, KoreaDepartment of Surgery, Seoul Medical Center, Seoul, KoreaDepartment of Surgery, Seoul Medical Center, Seoul, KoreaDepartment of Surgery, Seoul Medical Center, Seoul, KoreaDepartment of Surgery, Dongguk University Ilsan Hospital, Goyang, KoreaPurpose: This study aimed to analyze the clinical outcomes of venous thromboembolism (VTE) patients and identify the risk factors for VTE-related unfavorable outcomes, major bleeding, and 30-day all-cause mortality. Materials and Methods : From January 2016 to December 2020, 198 patients with confirmed VTE were enrolled. Potential risk factors for unfavorable outcomes, major bleeding, and all-cause mortality were analyzed. Results : VTE-related unfavorable outcomes developed in 13.1%, while 30-day all-cause mortality was 8.6%. In the multivariate analysis, a pulse ≥110/min and respiratory rate ≥30/min were statistically significant predictors for VTE-related unfavorable outcomes. Diabetes was a significant risk factor for major bleeding. In addition, a history of malignancy, no anticoagulation treatment, and need for mechanical ventilation were significant predictors of all-cause mortality. Conclusion : VTE-related mortality and morbidity rates remained high. In cases of tachycardia and tachypnea, early aggressive treatment is needed to prevent unfavorable outcomes. Patients with risk factors should be closely monitored.https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.210041venous thromboembolismrisk factorsmortalityanticoagulants
spellingShingle Han Young Lee
Tae Hoon Yeo
Tae Kyung Heo
Young Gyu Cho
Dong Hui Cho
Kyung Bok Lee
Risk Factors of Unfavorable Outcomes, Major Bleeding, and All-Cause Mortality in Patients with Venous Thromboembolism
Vascular Specialist International
venous thromboembolism
risk factors
mortality
anticoagulants
title Risk Factors of Unfavorable Outcomes, Major Bleeding, and All-Cause Mortality in Patients with Venous Thromboembolism
title_full Risk Factors of Unfavorable Outcomes, Major Bleeding, and All-Cause Mortality in Patients with Venous Thromboembolism
title_fullStr Risk Factors of Unfavorable Outcomes, Major Bleeding, and All-Cause Mortality in Patients with Venous Thromboembolism
title_full_unstemmed Risk Factors of Unfavorable Outcomes, Major Bleeding, and All-Cause Mortality in Patients with Venous Thromboembolism
title_short Risk Factors of Unfavorable Outcomes, Major Bleeding, and All-Cause Mortality in Patients with Venous Thromboembolism
title_sort risk factors of unfavorable outcomes major bleeding and all cause mortality in patients with venous thromboembolism
topic venous thromboembolism
risk factors
mortality
anticoagulants
url https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.210041
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