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    Incidence of symptomatic venous thromboembolism following hospitalization for coronavirus disease 2019: Prospective results from a multi-center study.

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    Author
    Rashidi, Farid
    Barco, Stefano
    Kamangar, Farin
    Heresi, Gustavo A
    Emadi, Ashkan
    Kaymaz, Cihangir
    Jansa, Pavel
    Reis, Abilio
    Rashidi, Arash
    Taghizadieh, Ali
    Rezaeifar, Parisa
    Moghimi, Minoosh
    Ghodrati, Samad
    Mozafari, Abolfazl
    Foumani, Ali Alavi
    Tahamtan, Ouria
    Rafiee, Effat
    Abbaspour, Zahra
    Khodadadi, Kasra
    Alamdari, Golsa
    Boodaghi, Yasman
    Rezaei, Maryam
    Muhammadi, Muhammad Javad
    Abbasi, Meysam
    Movaseghi, Fatemeh
    Koohi, Ata
    Shakourzad, Leila
    Ebrahimi, Fatemeh
    Radvar, Sarvin
    Amoozadeh, Maryam
    Fereidooni, Fatemeh
    Naseari, Hanieh
    Movalled, Kobra
    Ghorbani, Ozra
    Ansarin, Khalil
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    Date
    2021-01
    Journal
    Thrombosis Research
    Publisher
    Elsevier Ltd.
    Type
    Article
    
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    See at
    https://doi.org/10.1016/j.thromres.2020.12.001
    Abstract
    Background: Thrombosis and pulmonary embolism appear to be major causes of mortality in hospitalized coronavirus disease 2019 (COVID-19) patients. However, few studies have focused on the incidence of venous thromboembolism (VTE) after hospitalization for COVID-19. Methods: In this multi-center study, we followed 1529 COVID-19 patients for at least 45 days after hospital discharge, who underwent routine telephone follow-up. In case of signs or symptoms of pulmonary embolism (PE) or deep vein thrombosis (DVT), they were invited for an in-hospital visit with a pulmonologist. The primary outcome was symptomatic VTE within 45 days of hospital discharge. Results: Of 1529 COVID-19 patients discharged from hospital, a total of 228 (14.9%) reported potential signs or symptoms of PE or DVT and were seen for an in-hospital visit. Of these, 13 and 12 received Doppler ultrasounds or pulmonary CT angiography, respectively, of whom only one patient was diagnosed with symptomatic PE. Of 51 (3.3%) patients who died after discharge, two deaths were attributed to VTE corresponding to a 45-day cumulative rate of symptomatic VTE of 0.2% (95%CI 0.1%–0.6%; n = 3). There was no evidence of acute respiratory distress syndrome (ARDS) in these patients. Other deaths after hospital discharge included myocardial infarction (n = 13), heart failure (n = 9), and stroke (n = 9). Conclusions: We did not observe a high rate of symptomatic VTE in COVID-19 patients after hospital discharge. Routine extended thromboprophylaxis after hospitalization for COVID-19 may not have a net clinical benefit. Randomized trials may be warranted.
    Rights/Terms
    Copyright © 2020 Elsevier Ltd. All rights reserved.
    Keyword
    COVID-19
    Cohort study
    Hospitalization
    Thromboprophylaxis
    Venous thromboembolism
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/14308
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.thromres.2020.12.001
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    UMB Coronavirus Publications

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