Évaluation du risque de maladie thromboembolique veineuse et de sa prévention chez des patients hospitalisés à Brazzaville

Ikama, Stéphane Méo; Nkoua, M.F.; Gombet, Thierry Raoul; Makani, Jospin; Mongo-Ngamami, Solange Flore; Ondze-Kafata, Louis Igor; Mbolla, Bertrand Fikahem Ellenga; Kimbally-Kaky, G.

doi:10.1016/j.jmv.2016.02.001

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…Adjenou et al [9] in Togo reported a higher incidence of 41. [18], and male in Lomé [9] and Yaoundé [3]. We made the same observation as Ondze et al…”

Section: Patient Characteristics At Diagnosissupporting

confidence: 79%

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Outcome of Patients with Lower Limbs Deep Vein Thrombosis at the University Hospital of Brazzaville (The Republic of the Congo)

Ikama,

Kaky,

Makani

et al. 2023

WJCD

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The aim of this study was to describe the characteristics of patients with deep vein thrombosis (DVT) of the pelvic limbs at the time of diagnosis, and their course after hospitalization, in order to improve the management of DVT in our context. This was a descriptive longitudinal study, based on cases of deep vein thrombosis recorded between 1 January 2015 and 30 September 2018, in the cardiology and internal medicine department of the Brazzaville University Hospital Centre. During the study period, 4678 patients were hospitalized, including 52 with DVT. Thirty-three were reassessed. The frequency of DVT was 1.1% and the average hospitalization rate was 13.9 cases/year. The 33 patients were divided into 20 women and 13 men (sex ratio: 0.65). The mean age of the patients was 51.4 ± 17.8 years (extremes: 16 and 85 years). The main aetiological factors were cancer (19.1%), sickle cell disease (3%) and HIV immunosuppression (3%). The predominant risk factors were: prolonged immobilization (42.

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“…Adjenou et al [9] in Togo reported a higher incidence of 41. [18], and male in Lomé [9] and Yaoundé [3]. We made the same observation as Ondze et al…”

Section: Patient Characteristics At Diagnosissupporting

confidence: 79%

“…[4] and Ikama et al [18] in the Congo, regarding the existence of favourable factors that need to be combated to prevent recurrence. anticoagulant therapy be optimized and that modifiable risk factors for DVT, such as obesity and a sedentary lifestyle, be addressed [1] [19] [20].…”

Section: Patient Characteristics At Diagnosismentioning

confidence: 99%

Outcome of Patients with Lower Limbs Deep Vein Thrombosis at the University Hospital of Brazzaville (The Republic of the Congo)

Ikama,

Kaky,

Makani

et al. 2023

WJCD

View full text Add to dashboard Cite

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Epidemiology of venous thromboembolism in Africa: a systematic review

Danwang

Temgoua

Agbor³

et al. 2017

Journal of Thrombosis and Haemostasis

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Background Venous thromboembolism (VTE) is among the three leading causes of cardiovascular disease worldwide. Despite its high burden, there has been no previous study summarizing the epidemiology of VTE in African populations. Hence, we conducted this systematic review to determine the prevalence, incidence and mortality associated with VTE, and to evaluate the use of VTE prophylaxis in Africa. Methods We searched PubMed, Scopus and African Journals Online to identify articles published on VTE in Africa from inception to November 19, 2016, without language restriction. The reference list of eligible articles were further scrutinized to identify potential additional studies. Results Overall, we included 21 studies. The great majority of the studies yielded a moderate risk of bias. The prevalence of deep vein thrombosis (DVT) varied between 2.4% and 9.6% in postoperative patients, and between 380 and 448 per 100 000 births per year in pregnant and postpartum women. The prevalence of pulmonary embolism (PE) in medical patients varied between 0.14% and 61.5%, with a mortality rate of PE between 40% and 69.5%. The case-fatality rate after surgery was 60%. Overall, 31.7-75% of the patients were at risk of VTE, and between 34.2% and 96.5% of these received VTE prophylaxis. Conclusion The prevalence of VTE and associated mortality are high following surgery, and in pregnant and postpartum women in Africa. At least one-quarter of patients who are at risk for VTE in Africa are not receiving prophylaxis. These results are generated from studies with small sample size, highlighting an urgent need for well-designed studies with larger sample size to evaluate the true burden of VTE in Africa.

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Évaluation du risque de maladie thromboembolique veineuse et de sa prévention chez des patients hospitalisés à Brazzaville

Cited by 2 publications

References 23 publications

Outcome of Patients with Lower Limbs Deep Vein Thrombosis at the University Hospital of Brazzaville (The Republic of the Congo)

Outcome of Patients with Lower Limbs Deep Vein Thrombosis at the University Hospital of Brazzaville (The Republic of the Congo)

Epidemiology of venous thromboembolism in Africa: a systematic review

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