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http://hdl.handle.net/1942/34408
Title: | Prevalence of deep venous thrombosis in ventilated COVID-19 patients: a mono-center cross-sectional study | Authors: | Pellens, Ben Romont, Margo Van Tornout, Michiel De Mey, Nathalie Dubois, Jasperina De Pauw, Ilse Ramaekers, Dirk STESSEL, Bjorn |
Issue Date: | 2020 | Source: | Journal of Emergency and Critical Care Medicine, 4 (Art N° 31) | Abstract: | Background: COVID-19 patients are related with an elevated risk for deep venous thrombosis (DVT). We evaluated the prevalence of DVT in our intubated and mechanically ventilated COVID-19+ patients at March 29th. Methods: We performed a Mono-center, investigator-initiated, observational, cross-sectional study. A total of 12 intubated COVID-19+ patients at intensive care unit (ICU) ward C3 of the Jessa Hospital, Hasselt, Belgium at March 29th were included. All patients received a prophylactic dose of low-molecular-weight heparin (LMWH). All intubated and mechanically ventilated patients were screened for the presence of DVT in femoral, popliteal, jugular and inferior caval veins with duplex ultrasound. Results: In total, 8 from all 12 intubated and ventilated COVID 19+ patients had already developed minimally one DVT. No relevant correlations could be detected. Conclusions: The prevalence of DVT in critically ill ICU patients with COVID-19 is over 60% despite adequate treatment with a prophylactic dose of LMWH. We suggest the use of graduated compression (elastic) stockings (GCS) and intermediate-dose LMWH for thrombosis prophylaxis in all COVID-19 patients. Since there were no clinical signs of DVT, we suggest to routinely screen all COVID-19 patients admitted to ICU for DVT via ultrasound. Future research should focus on the mechanisms underlying these observations. | Keywords: | COVID-19;venous thrombosis;intensive care unit (ICU);catheterization;central venous;respiration;artificial | Document URI: | http://hdl.handle.net/1942/34408 | ISSN: | 2521-3563 | DOI: | 10.21037/jeccm-20-62 | Category: | A1 | Type: | Journal Contribution | Validations: | vabb 2023 |
Appears in Collections: | Research publications |
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jeccm-04-31.pdf | Published version | 257.71 kB | Adobe PDF | View/Open |
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