Clinical Characteristics and Outcomes of Women Presenting with Venous Thromboembolism during Pregnancy and Postpartum Period: Findings from the RIETE Registry
Rattachement africain : qa, us, es, de, lv. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Although venous thromboembolism (VTE) is a leading cause of maternal mortality, there is a paucity of real-world clinical data on clinical presentation and management of VTE during pregnancy and postpartum period. Using data from the international RIETE (Registro Informatizado Enfermedad Trombo Embólica) registry, pregnant and postpartum women with VTE were identified. Baseline characteristics, risk factors, therapies, and outcomes were compared. From March 2001 to July 2019, 596 pregnant and 523 postpartum women had symptomatic, objectively confirmed VTE. Pregnant or postpartum women were less likely to have another risk factor for VTE (i.e., immobility, cancer, recent travel) than nonpregnant women aged < 50 years. The prevalence of thrombophilia was higher among pregnant and postpartum women compared with nonpregnant women (53.2% vs. 46%). Pulmonary embolism (PE) was less commonly diagnosed in pregnant versus postpartum women (27% vs. 42%). Pregnant women with PE were commonly treated with low molecular weight heparin (73% vs. 29%), and received more inferior vena cava filters (6.0% vs. 4.2%) compared with postpartum women. By 90 days, one pregnant and one postpartum woman died after PE, and one died after a deep venous thrombosis. The incidence of recurrent VTE was low. In this largest cohort of pregnant and postpartum women with confirmed VTE, we found that pregnant and postpartum women with VTE were unlikely to present with other risk factors for VTE. Adverse outcomes in our study were uncommon.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Clinical Characteristics and Outcomes of Women Presenting with Venous Thromboembolism during Pregnancy and Postpartum Period: Findings from the RIETE Registry
- Date Crossref
- 27/07/2020
- Éditeur
- Georg Thieme Verlag KG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Weill Cornell Medical College in Qatar pays non établi dans la noticeUniversité ou école supérieure
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Harvard University pays non établi dans la noticeUniversité ou école supérieure
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Massachusetts General Hospital Division of Hematology pays non établi dans la noticeÉtablissement de santé
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Hospital Universitario Reina Sofía Department of Internal Medicine pays non établi dans la noticeÉtablissement de santé
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Hospital Universitario Virgen de la Arrixaca pays non établi dans la noticeÉtablissement de santé
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Städtisches Klinikum Dresden pays non établi dans la noticeÉtablissement de santé
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Pauls Stradiņš Clinical University Hospital Department of Cardiology pays non établi dans la noticeÉtablissement de santé
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Hospital General Universitario de Ciudad Real Department of Internal Medicine pays non établi dans la noticeÉtablissement de santé
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Hospital General Universitario de Albacete Department of Pneumonology pays non établi dans la noticeÉtablissement de santé
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Hospital Universitari Germans Trias i Pujol Department of Internal Medicine pays non établi dans la noticeÉtablissement de santé
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Division of Cardiology pays non établi dans la noticeInstitution
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Hospital Universitario Virgen de Arrixaca Department of Internal Medicine pays non établi dans la noticeÉtablissement de santé
Weill Cornell Medical College in Qatar, Harvard University et Division of Hematology — Massachusetts General Hospital, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.