Articles producció científica> Medicina i Cirurgia

Comparisons Between Upper and Lower Extremity Deep Vein Thrombosis: A Review of the RIETE Registry

  • Identification data

    Identifier: imarina:5131243
    Authors:
    Cote L.P., Greenberg S., Caprini J.A., Tafur A., Choi C., Muñoz F.J., Skride A., Valero B., Porras J.A., Ciammaichella M., Hernández-Blasco L.M., Monreal M., RIETE Investigators
    Abstract:
    © SAGE Publications. Background: The outcome of patients with upper extremity deep vein thrombosis (UEDVT) has not been consistently compared with that in patients with lower extremity deep vein thrombosis (LEDVT). Methods: We used the Registro Informatizado de Enfermedad Trombo Embólica (RIETE) registry to compare the outcomes during the course of anticoagulant therapy in patients with UEDVT versus outcomes in patients with LEDVT. Results: As of August 2015, 37,366 patients with acute DVT had been enrolled in RIETE: 35094 (94%) had LEDVT, 1334 (3.6%) non-catheter related UEDVT (672 unprovoked and 662 provoked) and 938 (2.5%) had catheter-related UEDVT. During the course of anticoagulation, patients with unprovoked UEDVT had a higher rate of DVT recurrences (hazard ratio [HR]: 2.22; 95% CI: 1.37-3.43) and a similar rate of PE recurrences or major bleeding than those with unprovoked LEDVT. Patients with non-catheter-related provoked UEDVT had a similar outcome than those with provoked LEDVT. Among patients with UEDVT, those with non-catheter related unprovoked UEDVT had a lower rate of PE recurrences (HR: 0.06; 95% CI: 0-0.35) and major bleeding (HR: 0.20; 95% CI: 0.08-0.46) than those with catheter-related UEDVT or those with non-catheter related provoked UEDVT (HR: 0.10; 95% CI: 0.004-0.60; and 0.22; 95% CI: 0.08-0.52, respectively). On multivariable analysis, any difference had disappeared. Conclusion: During the course of anticoagulation, patients with UEDVT had a similar outcome than those with LEDVT. Among UEDVT patients, there were some differences according to the presence of catheter or additional risk factors for DVT. These differences disappeared after adjusting for potentially confounding variables.
  • Others:

    Author, as appears in the article.: Cote L.P., Greenberg S., Caprini J.A., Tafur A., Choi C., Muñoz F.J., Skride A., Valero B., Porras J.A., Ciammaichella M., Hernández-Blasco L.M., Monreal M., RIETE Investigators
    Department: Medicina i Cirurgia
    URV's Author/s: Porras Ledantes, Jose Antonio
    Keywords: Upper extremity Recurrences Pulmonary embolism Lower extremity Deep vein thrombosis Catheter Bleeding Anticoagulant therapy recurrences pulmonary embolism lower extremity deep vein thrombosis catheter bleeding anticoagulant therapy
    Abstract: © SAGE Publications. Background: The outcome of patients with upper extremity deep vein thrombosis (UEDVT) has not been consistently compared with that in patients with lower extremity deep vein thrombosis (LEDVT). Methods: We used the Registro Informatizado de Enfermedad Trombo Embólica (RIETE) registry to compare the outcomes during the course of anticoagulant therapy in patients with UEDVT versus outcomes in patients with LEDVT. Results: As of August 2015, 37,366 patients with acute DVT had been enrolled in RIETE: 35094 (94%) had LEDVT, 1334 (3.6%) non-catheter related UEDVT (672 unprovoked and 662 provoked) and 938 (2.5%) had catheter-related UEDVT. During the course of anticoagulation, patients with unprovoked UEDVT had a higher rate of DVT recurrences (hazard ratio [HR]: 2.22; 95% CI: 1.37-3.43) and a similar rate of PE recurrences or major bleeding than those with unprovoked LEDVT. Patients with non-catheter-related provoked UEDVT had a similar outcome than those with provoked LEDVT. Among patients with UEDVT, those with non-catheter related unprovoked UEDVT had a lower rate of PE recurrences (HR: 0.06; 95% CI: 0-0.35) and major bleeding (HR: 0.20; 95% CI: 0.08-0.46) than those with catheter-related UEDVT or those with non-catheter related provoked UEDVT (HR: 0.10; 95% CI: 0.004-0.60; and 0.22; 95% CI: 0.08-0.52, respectively). On multivariable analysis, any difference had disappeared. Conclusion: During the course of anticoagulation, patients with UEDVT had a similar outcome than those with LEDVT. Among UEDVT patients, there were some differences according to the presence of catheter or additional risk factors for DVT. These differences disappeared after adjusting for potentially confounding variables.
    Thematic Areas: Peripheral vascular disease Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Interdisciplinar Hematology General medicine Farmacia Educação física Ciências biológicas ii
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 10760296
    Author's mail: joseantonio.porras@urv.cat
    Author identifier: 0000-0001-6418-1822
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://journals.sagepub.com/doi/10.1177/1076029616663847
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Clinical And Applied Thrombosis-Hemostasis. 23 (7): 748-754
    APA: Cote L.P., Greenberg S., Caprini J.A., Tafur A., Choi C., Muñoz F.J., Skride A., Valero B., Porras J.A., Ciammaichella M., Hernández-Blasco L.M., Monr (2017). Comparisons Between Upper and Lower Extremity Deep Vein Thrombosis: A Review of the RIETE Registry. Clinical And Applied Thrombosis-Hemostasis, 23(7), 748-754. DOI: 10.1177/1076029616663847
    Article's DOI: 10.1177/1076029616663847
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2017
    Publication Type: Journal Publications
  • Keywords:

    Hematology,Medicine (Miscellaneous),Peripheral Vascular Disease
    Upper extremity
    Recurrences
    Pulmonary embolism
    Lower extremity
    Deep vein thrombosis
    Catheter
    Bleeding
    Anticoagulant therapy
    recurrences
    pulmonary embolism
    lower extremity
    deep vein thrombosis
    catheter
    bleeding
    anticoagulant therapy
    Peripheral vascular disease
    Medicine (miscellaneous)
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    Hematology
    General medicine
    Farmacia
    Educação física
    Ciências biológicas ii
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