Role of race and sex in diagnosis and one-year follow up of deep venous thrombosis.
This study examines the role of sex and race in the diagnosis and outcome of deep vein thrombosis (DVT). A retrospective study was performed of 632 patients who underwent venous duplex ultrasound from August 1998 to July 1999. Comparisons were made by Chi-square analysis. Seventy-four percent of the patients were women and 79% of the total group was African American. Twenty-two percent (140) of the examinations were positive for DVT. Of all studies performed in men, 37% were positive for DVT, and of all studies performed in women, 18% were positive for DVT (P<0.05). Additionally, African-American women were more likely to be positive for DVT than Caucasian women. One-year follow up showed that 42% had residual thrombus and, regardless of sex, African-Americans were more likely to have persistent thrombus than Caucasians (60% vs. 19%). Findings in this study suggest, in our cohort, African American women were diagnosed with DVT twice as often as Caucasian women and African Americans were more likely to have a persistent DVT as compared to Caucasians.
Pierre-Paul
Daphne
D
Yale University School of Medicine, New Haven, Connecticut, USA.
Mureebe
Leila
L
Gahtan
Vivian
V
Kerstein
Morris D
MD
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use*; D016009:Chi-Square Distribution; D015331:Cohort Studies; D004359:Drug Therapy, Combination; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D017678:Sex Distribution; D013997:Time Factors; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000208:ethnology*; D044465:White People / Q000706:statistics & numerical data*
D000925:Anticoagulants