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DVT: A Hidden Health Risk Among Seniors

Study reveals DVT challenges and risks in older patients.

Jianghao Pan, Jianming Sun, Jiaming Song, Guangyin Fu, Yong Lei, Le Wang

― 4 min read


DVT Risks in Older Adults DVT Risks in Older Adults diagnosis is crucial. DVT poses serious threats; early
Table of Contents

Venous thromboembolism, commonly known as VT, includes two main conditions: deep vein thrombosis (DVT) and Pulmonary Embolism (PE). DVT usually happens in the leg veins but can also occur in veins in other parts of the body, like the arms and brain. Every year, DVT affects between 48 and 182 people out of every 100,000 in the general population. It can cause swelling in the legs and if not treated promptly, can lead to potentially serious issues like PE and a long-term condition known as post-thrombotic syndrome (PTS). PTS can range from mild swelling in the ankles to severe pain and leg ulcers.

DVT is a significant health concern because it is one of the three most common types of cardiovascular disease, right after heart attacks and strokes. Each year, around 10 million people worldwide experience VT, making it a big player in global health challenges. The chances of developing acute VT rise with age, and unfortunately, it's much more common in wealthier countries compared to poorer ones.

Importance of Prompt Diagnosis

Detecting DVT can be tricky since Symptoms and medical history may not always provide clear answers. That's why there are many guidelines on how to identify and treat DVT. Healthcare professionals may use clinical prediction scores, D-dimer tests, and ultrasound to diagnose this condition accurately.

Study Objective

A recent study looked at DVT in patients from a smaller, fourth-tier city in China. The aim was to analyze the characteristics and complications of patients diagnosed with lower extremity DVT in the hopes of improving future hospital care. This research was part of a project on treatment strategies for DVT and was ethically approved, ensuring patient privacy throughout the process.

Study Design

This study focused on patients who were treated in a single center. Researchers reviewed medical records of patients who were 18 years or older and had been diagnosed with specific types of DVT or PE. They gathered data on patient backgrounds, medical histories, and lab results over the course of a year.

Data Collection

The study looked at a range of information, including age, gender, symptoms, and associated medical conditions. Blood tests were performed to check various factors like blood clotting times and blood sugar levels. Addresses and other personal details were all kept private. They used ultrasound to confirm the presence of blood clots.

Patient Characteristics

The study examined 100 patients whose ages ranged from 31 to 87 years, with an average age of about 65. More than half of the patients were over 60. Interestingly, many patients didn’t show typical signs of DVT when they were admitted. For instance, some patients came in complaining about something else entirely.

Symptoms and Diagnostic Challenges

In this study, only about one-third had classic DVT symptoms, like leg swelling or pain. The rest had other symptoms, including chest tightness, which may indicate PE. This often makes diagnosis a challenge, as some patients present with issues commonly linked to other conditions, such as heart problems.

Patients with high blood pressure, diabetes, and other common diseases also showed more chest-related symptoms. Among those diagnosed with DVT, some were found to have clots while being treated for other medical issues.

Coexisting Health Issues

Many patients in the study had additional health problems. Some arrived at the hospital without any obvious leg or chest symptoms, but were later diagnosed with DVT through various examinations. Notably, patients confined to bed due to other health issues often have a higher risk of developing DVT.

Importance of Testing

Many patients featured in the study underwent D-dimer tests, which returned high levels, indicating a potential for DVT. This reinforces the need for testing, especially in individuals exhibiting high-risk factors.

Outcomes and Complications

Sadly, one patient passed away during the study. This individual had been diagnosed with cerebral thrombosis but later developed DVT and exhibited signs consistent with PE. Such cases highlight the serious risks associated with VT.

Final Thoughts

In summary, this study found that DVT is especially common among older individuals. While typical symptoms can help with diagnosis, many patients present with atypical signs, making it harder for healthcare providers to identify the condition early on. Given the significant impact of DVT and its complications, especially in older demographics, screening and awareness are crucial. After all, who wants to deal with hidden dangers like blood clots? Prevention and timely diagnosis can save lives, and that’s no laughing matter!

Original Source

Title: The exploration of the characteristics of lower extremity deep venous thromboembolism in patients at admission to a tertiary general hospital in a fourth-tier city in China

Abstract: With the acceleration of the pace of life and the change of peoples living and working habits, the incidence of venous diseases of lower extremity remains high, and even shows an upward trend year by year, which has a great impact on the quality of life and work efficiency of patients. Well, the occurrence and development of lower extremity deep vein thrombosis (LEDVT) is also related to the economic and humanistic characteristics of a certain place. ObjectivesThe purpose of this paper is to retrospectively analyze the medical records of DVT patients in a general hospital of a fourth-tier city in China, and find some noteworthy characteristics, so as to provide some objective evidence for the diagnosis of DVT in similar hospitals. MethodsAdult patients with central LEDVT with or without pulmonary embolism (PE) were retrospectively analyzed. The general condition, concomitant diseases, laboratory tests and other clinical characteristics were analyzed. ResultsA total of 100 patients medical records were analyzed. The age was non-normally distributed (p =0.004), which from 31 to 87 (65.3{+/-}11.5) years, and 58% of them were 65 years or older. Males (56%) were slightly more than females. Ninety of ninety-four patients D-dimer [≥]1gDDU/ml. Fifty-eight were definitely diagnosed with central LEDVT at admission, of which twenty-three were confirmed as PE by CT. Thirty-five patients with leg symptoms, thirty-three patients with chest symptoms, only two patients had both leg and chest symptoms, and thirty-four patients without any obvious symptoms of DVT when they were admitted to the hospital. Only twelve patients were admitted only with LEDVT, and most of the other patients were complicated with other system/organ diseases. ConclusionsLEDVT is more common in elderly patients aged [≥] 65 years. However, the incidence of patients [≥]75 years old observed in this study may be limited by the local economic situation and life expectancy. The symptoms can present as many, may be the typical leg symptoms, progression to PE may involve chest symptoms, or it may be neither leg symptoms nor chest symptoms that are masked by the symptoms of other concomitant diseases. LEDVT can be complicated with multiple system/organ diseases. It is necessary to screen for DVT in patients with abnormal D-dimer.

Authors: Jianghao Pan, Jianming Sun, Jiaming Song, Guangyin Fu, Yong Lei, Le Wang

Last Update: 2024-12-13 00:00:00

Language: English

Source URL: https://www.medrxiv.org/content/10.1101/2024.12.12.24318933

Source PDF: https://www.medrxiv.org/content/10.1101/2024.12.12.24318933.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to medrxiv for use of its open access interoperability.

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