Artículo
Prognostic significance of incidental deep vein thrombosis in patients with cancer presenting with incidental pulmonary embolism
Autor/es | Barca Hernando, María
Ortega Rivera, Rocío López Ruz, Sergio Helías Hernández, Teresa Asensio Cruz, María Isabel Marín Romero, Samira Toral, Javier Otero Candelera, Remedios Jara Palomares, Luis José |
Departamento | Universidad de Sevilla. Departamento de Medicina |
Fecha de publicación | 2020 |
Fecha de depósito | 2023-05-08 |
Publicado en |
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Resumen | In symptomatic acute pulmonary embolism (PE), the presence of deep vein thrombosis (DVT)
is a risk factor for 30- and 90-day mortality. In patients with cancer and incidental PE, the prognostic
effect of concomitant ... In symptomatic acute pulmonary embolism (PE), the presence of deep vein thrombosis (DVT) is a risk factor for 30- and 90-day mortality. In patients with cancer and incidental PE, the prognostic effect of concomitant incidental DVT is unknown. In this retrospective study, we examined the effect of incidental DVT on all-cause mortality in such patients. Adjusted Cox multivariate regression analysis was used for relevant covariates. From January 2010 to March 2018, we included 200 patients (mean age, 65.3 ± 12.4 years) who were followed up for 12.5 months (interquartile range 7.4–19.4 months). Of these patients, 62% had metastases, 31% had concomitant incidental DVT, and 40.1% (n = 81) died during follow-up. All-cause mortality did not increase in patients with DVT (hazard ratio [HR] 1.01, 95% confidence interval [CI] 0.43–2.75, p = 0.855). On multivariate analysis, weight (adjusted HR 0.96, 95% CI 0.92–0.99, p = 0.032), and metastasis (adjusted HR 10.26, 95% CI 2.35–44.9, p = 0.002) were predictors of all-cause mortality. In conclusion, low weight and presence of metastases were associated with all-cause mortality, while presence of concomitant DVT was unrelated to poorer survival. |
Cita | Barca Hernando, M., Ortega Rivera, R., López Ruz, S., Helías Hernández, T., Asensio Cruz, M.I., Marín Romero, S.,...,Jara Palomares, L.J. (2020). Prognostic significance of incidental deep vein thrombosis in patients with cancer presenting with incidental pulmonary embolism. Cancers, 12 (8), 1-12. https://doi.org/10.3390/cancers12082267. |
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