Protocolos de profilaxia de tromboembolismo venoso (TEV) em hospitais brasileiros - PROTEV Brasil

Rocha, Ana Thereza; Pinheiro, Thiago Brito; Souza, Paulo Roberto Sampaio Peixoto de; Marques, Marcos Arêas

doi:10.1590/1677-5449.190119

Cited by 8 publications

(16 citation statements)

References 15 publications

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“…Este programa de educação também poderia diminuir os custos. (28,29) Um programa de prevenção de trombos de profilaxia de TEV implementado em quatro hospitais de Salvador/BA mostrou um aumento significativo no uso de doses corretas de heparina (53% antes da implementação do programa e 75% depois dessa implementação). (29) O aumento do custo total é provavelmente devido ao crescimento das hospitalizações que ocorreram no país e em suas regiões.…”

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Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series study

et al. 2022

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Objective: To assess the temporal trends of hospitalizations for pulmonary embolism (PE) in Brazil, its regions, and states between 2008 and 2019. Methods: An ecological and time series study was conducted. Data were obtained from the Hospital Information System (SIH) of the Brazilian Ministry of Health. The inflection point regression model was applied for temporal trend analyses. Trends were classified as increasing, decreasing, or stationary according to the slope of the regression line. The Annual Percent Charge (APC) and the Average Annual Percent Change (AAPC) were calculated considering a confidence interval of 95% and p-value <0.05. Furthermore, spatial distribution maps of epidemiological indicators related to PE in Brazil were elaborated. Results: There was an increasing trend in the hospitalization rate for PE in Brazil, ranging from 2.57 in 2008 to 4.44/100,000 in 2019 (AAPC=5.6%; p<0.001). Total and average hospitalizations costs also showed increasing trend in the country (AAPC=9.2% and 3.0%, respectively). Still, there was a decrease in the in-hospital mortality rate (from 21.21% to 17.11%; AAPC=-1.9%; p<0.001). Similar trends were observed in most regions. The average hospitalization time in Brazil showed a stationary trend. The hospitalization rate has also increased in 18 states (66.67%). Seven states showed a decrease in the mortality rate (25.93%), except for Roraima, which showed an increasing trend. Conclusion: Hospitalizations for PE represent a serious public health problem in Brazil and the temporal patterns observed herein demonstrate an increasing trend in all regions and states of the country. Keywords: Pulmonary embolism; Epidemiology; Ecological studies; Time series.

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Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series study

et al. 2022

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“…O implante de filtros de veia cava (FVC) é recomendado em pacientes com tromboembolismo venoso (TEV) que apresentem contraindicação à anticoagulação, como aqueles com sangramento ativo ou plaquetopenia [1][2][3][4][5][6] .…”

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Influência do sexo e da idade sobre o diâmetro da cava inferior e implicações para o implante de filtros de veia cava

et al. 2022

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Resumo Contexto A aferição do diâmetro venoso e a escolha de um filtro de veia cava compatível são fundamentais para diminuir o risco de complicações decorrentes do implante desses dispositivos. Entretanto, são escassas as informações sobre como o diâmetro da cava inferior varia de acordo com o sexo e a idade. Objetivos Determinar a influência do sexo e da idade dos pacientes sobre o diâmetro da cava inferior e a adequação dos diferentes modelos de filtro disponíveis. Métodos Estudo analítico retrospectivo, realizado a partir de imagens de tomografia computadorizada. O diâmetro no segmento infrarrenal da veia cava inferior foi aferido em três pontos (cranial, médio e caudal). Os resultados foram classificados de acordo com o sexo e as faixas etárias. Resultados Foram analisadas tomografias de 417 pacientes: 245 mulheres e 172 homens. Os diâmetros nos pontos médio e caudal foram, respectivamente, 19,1 mm e 20,6 mm em mulheres de 81 a 92 anos, sendo estatisticamente menores (p < 0,05) quando comparados aos de mulheres com idade entre 19 e 40 anos (diâmetro no ponto médio: 22,7 mm; diâmetro no ponto caudal: 23 mm). Resultados semelhantes foram observados em homens. Os diâmetros venosos nos pontos cranial e caudal foram estatisticamente maiores em homens (ponto cranial: 24,4 mm; ponto caudal: 22,3 mm) do que em mulheres (ponto cranial: 22,6 mm; ponto caudal: 20,8 mm) em pacientes com idade entre 51 e 70 anos (p < 0,05). Conclusões O diâmetro da veia cava inferior foi menor em pacientes com idade mais avançada em ambos os sexos, e a taxa de variação do diâmetro foi semelhante entre homens e mulheres.

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“…Vena cava filter (VCF) placement is recommended in patients with venous thromboembolism (VTE) who have contraindications to anticoagulation, such as those with active bleeding or thrombocytopenia. [1][2][3][4][5][6] There are more than ten different models of VCF available on the market, indicated for veins with diameters ranging from 14 to 35 mm. However, complications resulting from implanting these devices include inferior vena cava (IVC) perforation and filter migration.…”

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Influence of sex and age on inferior vena cava diameter and implications for the implantation of vena cava filters

et al. 2022

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Background Measuring the venous diameter and choosing a compatible vena cava filter are essential to reduce the risk of complications resulting from implantation of these devices. However, there is little information on how the diameter of the inferior vena cava varies with sex and age. Objectives To determine the influence of patients’ gender and age on their inferior vena cava diameter and the suitability of the different models of available filters. Methods Retrospective analytical study based on computed tomography images. The diameter of the inferior vena cava was measured at 3 points: above the confluence of the common iliac veins, below the renal veins, and midway between these two points (cranial point, caudal point, and midpoint) using Arya® and Carestream PACS® software. The results were classified by sex and age groups. Results CT scans of 417 patients were analyzed: 245 women and 172 men. The diameters at the midpoint and caudal point were, respectively, 19.1 mm and 20.6 mm in women from 81 to 92 years old and were statistically smaller (p< 0.05) when compared to women aged 19 to 40 years (midpoint: 22.7 mm; caudal point: 23 mm). Similar results were seen in men. Venous diameters at the cranial and caudal points in patients aged from 51 to 70 years were statistically larger in men (cranial point: 24.4 mm; caudal point:22.3 mm) than in women (cranial point: 22.6 mm; caudal point:20.8 mm) (p< 0.05). Conclusions A smaller diameter was found for the inferior vena cava in older patients of both sexes and the rate of diameter change was similar among men and women.

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Protocolos de profilaxia de tromboembolismo venoso (TEV) em hospitais brasileiros - PROTEV Brasil

Cited by 8 publications

References 15 publications

Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series study

Hospitalizations for pulmonary embolism in Brazil (2008-2019): an ecological and time series study

Influência do sexo e da idade sobre o diâmetro da cava inferior e implicações para o implante de filtros de veia cava

Influence of sex and age on inferior vena cava diameter and implications for the implantation of vena cava filters

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