[Thromboembolic disease: analysis of 239 cases].
OBJECTIVE
To know the number of patients that are admitted in the hospital with TED or those who have developed it during their stay, analyzing how to manage this disease and make a basis for a prospective study of this disease.


METHODS
It is a descriptive and retrospective study of TED diagnosed patients during their stay at the Hospital Clínico San Carlos of Madrid for a 6 month period. Data related with epidemiologic records, diagnosis, treatment and complications of patients with Deep-Vein Thrombosis (DVT), Pulmonary Thromboembolism (PTE) or both (DVT+PTE) are collected.


RESULTS
From October 1st of 2003 to March 31st of 2004, 239 patients were diagnosed with TED (64 DVT, 125 PTE y 51 DVT + PTE) when they were discharged from our hospital, with an average age of 73.2 years (standard desviation 13.64). We classify as risky factors with significative statistical differences chemotherapy, acute myocardium infarction and obesity. It has not been found any relation between the treatment used and the development of hemorrhage. Patients with previous episodes of TED had more frequent hemorrhagies than those without such records. Hypokinesia in the right ventricle shown on the echocardiogram supposed a gloomy prognosis of the death for TED as well as the development of DVT + PTE.


CONCLUSIONS
In more than a 50% of patients, TED was PTE and more than a 60% were women. It is important to obtain information about these patients because 2/3 of them are admitted to internal medicine. Chemotherapy, AIM and obesity were factors significatively associated to DVT, PTE and DVT + PTE. Hypokinesia in the right ventricle shown on the echocardiogram supposed a gloomy prognosis for TED as well as the development of DVT + PTE.
Muñoz López de Rodas
M C
MC
Servicio de Medicina Interna I, Hospital Clínico San Carlos, Madrid, Spain. mcmldr@hotmail.com
Serrano Cazorla
M
M
Díaz Vidal
L
L
Cigüenza Gabriel
R
R
Antolín Arias
J
J
D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000453:epidemiology*; D012189:Retrospective Studies; D020246:Venous Thrombosis / Q000453:epidemiology*