Screening for Deep Vein Thrombosis in Persons With COVID-19 Upon Admission to an Inpatient Rehabilitation Hospital.
Am J Phys Med Rehabil
; 100(5): 419-423, 2021 05 01.
Article
in English
| MEDLINE | ID: covidwho-1169718
ABSTRACT
OBJECTIVE:
The aim of the study was to determine the prevalence of deep venous thrombosis detected by duplex screening and risk factors associated with deep venous thrombosis in patients with COVID-19 upon admission to an inpatient rehabilitation hospital.DESIGN:
This is a retrospective review.SETTING:
The setting is three freestanding inpatient rehabilitation hospitals operating as one system.PARTICIPANTS:
The participants are consecutive patients with a diagnosis of COVID-19 admitted to an inpatient rehabilitation hospital without a diagnosis of deep venous thrombosis or screening duplex ultrasound prior to transfer.INTERVENTIONS:
A duplex ultrasound of lower limbs was performed upon admission to inpatient rehabilitation hospital. OUTCOMEMEASURES:
Primary outcome was the percentage of admission patients with a lower limb deep venous thrombosis. Secondary factors included potential risk factors for a positive screen for deep venous thrombosis.RESULTS:
A lower limb deep venous thrombosis was diagnosed in 22% (25/113) of the patients tested, with eight patients (7.1%) having a proximal deep venous thrombosis. Risk factors for screening positive for a deep venous thrombosis included being male, younger, and having been on a ventilator during the acute illness.CONCLUSIONS:
The high rate of deep venous thrombosis observed in these patients suggests that the risk of venous thromboembolic disorders after severe COVID-19 illness is considerable and surveillance measures of such patients should be undertaken.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Venous Thrombosis
/
Hospitals, Rehabilitation
/
COVID-19
/
Hospitalization
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Topics:
Long Covid
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
/
Young adult
Language:
English
Journal:
Am J Phys Med Rehabil
Journal subject:
Physical Medicine
/
Rehabilitation
Year:
2021
Document Type:
Article
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