scholarly journals Análise dos fatores de risco relacionados ao tromboembolismo venoso em mulheres de idade fértil em Itajubá – Minas Gerais / Analysis of risk factors related to venous thromboembolism in women of childbearing age in Itajubá – Minas Gerais

2017 ◽  
Vol 7 (3) ◽  
pp. 3-7
Author(s):  
Melissa Andreia de Moraes Silva ◽  
Bianca Bolsonaro Guilherme ◽  
Ivy Loureiro Teodoro ◽  
Seleno Glauber de Jesus-Silva ◽  
Rodolfo Souza Cardoso

Introdução: O tromboembolismo venoso (TEV) incide em mulheres de idade fértil e a identificação dos fatores de risco é ponto crucial para sua prevenção. Objetivos: Identificar e correlacionar os fatores de risco mais comuns para o desencadeamento de TEV em mulheres de 14 a 50 anos. Métodos: Analisadas 30 mulheres com diagnóstico recente de trombose venosa profunda (TVP) de membros inferiores por meio de ultrassonografia com Doppler colorido e de seus prontuários, no período de julho de 2011 a julho de 2016. Os fatores de risco foram descritos em proporções e comparados através de teste exato de Fisher. Resultados: A média de idade foi de 37,4 anos. O índice de massa corpórea médio foi de 27,4 kg/m2 e a média de gestações foi de 2,3 por paciente. Setenta por cento apresentaram TVP, e a prevalência em ambos os membros foi igual. Cirurgias recentes, história familiar de TEV, doenças associadas e uso de contraceptivos orais (CO) foram os mais prevalentes na população estudada (53,8%, 42,3%, 42,3% e 38,5%, respectivamente). Uso de CO, cirurgia recente e varizes de grosso calibre foram os fatores mais relacionados à recorrência da trombose (p<0,05). Conclusão: Pode-se concluir que a presença de varizes, cirurgia recente e história familiar são os fatores de risco mais associados à presença de TVP em mulheres de idade fértil. Uso de CO, cirurgia recente e presença de varizes são os fatores de risco mais estatisticamente relacionados à recorrência da TVP.Palavras-Chave: Tromboembolia venosa; Saúde da mulher; Fatores de riscoABSTRACTIntroduction: Venous thromboembolism (VTE) affects women of childbearing age and the identification of risk factors is a key point for preventing its development. Aims: To identify and correlate the most common risk factors for the development of VTE in women aged 14-50 years. Meth-ods: We analyzed 30 women with recent diagnosis of deep venous thrombosis (DVT) of the lower limbs using Doppler color ultrasonography and their medical records from July 2011 to July 2016. Risk factors were described as proportions and compared using Fisher’s exact test. Re-sults: The mean age was 37.4 years. The mean body mass index was 27.4 kg/m2 and the mean gestation rate was 2.3 per pa-tient. Seventy percent presented DVT, and the prevalence in both limbs was the same. Recent surgeries, familiar historical of VTE, associated diseases and use of oral contraceptives (OC) were the most preva-lent factors in the studied population (53.8%, 42.3%, 42.3% and 38.5%, respec-tively). Use of OC, recent surgery and varicose veins were the factors most related to recurrence of thrombosis (p<0.05). Conclusion: It can be concluded that the presence of varicose veins, recent surgery and family history are the risk factors that are most associated with the presence of DVT in women of childbearing age. Use of OC, recent surgery and presence of varicose veins are the risk factors more statistically related to recurrence of DVT.Keywords: Venous thromboembolism; Women’s health; Risk factors

2003 ◽  
Vol 57 (12) ◽  
pp. 1627-1632 ◽  
Author(s):  
R D Semba ◽  
S de Pee ◽  
D Panagides ◽  
O Poly ◽  
M W Bloem

Blood ◽  
2008 ◽  
Vol 112 (13) ◽  
pp. 4818-4823 ◽  
Author(s):  
Ida Martinelli ◽  
Massimo Franchini ◽  
Pier Mannuccio Mannucci

Abstract Venous thromboembolism may involve venous sites other than the lower limbs, such as cerebral, splanchnic, and upper limb veins. Although uncommon, these thromboses may be clinically severe and challenging for caregivers. In this review, the main pathogenic, clinical, and therapeutic features of thromboses in rare venous sites are discussed. Even though there was a lot of recent progress in understanding the mechanistic role of inherited and acquired thrombophilia and of the interactions between different risk factors, the optimal management of these patients is still unsettled, being currently based on the consensus of experts due to the lack of randomized trials. The implementation of large interdisciplinary registries is a necessary weapon to optimize the treatment of rare venous diseases.


Author(s):  
Yichun Hu ◽  
Min Li ◽  
Jinghuan Wu ◽  
Rui Wang ◽  
Deqian Mao ◽  
...  

Anemia is a public health issue for developing countries, especially for women of childbearing age. The aim of this study was to assess the anemia status and analyze the risk factors for anemia in Chinese childbearing women aged 18–49 years. Hemoglobin concentration was measured by the HiCN method in the Fifth Chinese National Nutrition and Health Survey (CNNHS) in 2010–2012. Age, region type, ethnicity, bodyweight, height, education, season and smoke habit were recorded in unified questionnaires. Latitude was divided by China’s Qinling Mountains and Huaihe River. Childbearing women (28,289) from the CNNHS 2010–2012 were included in this study. The median hemoglobin concentration was 136.2(126.6–145.0) g/L, and it was significantly higher than in CNNHS 2002 (132.5 (122.3–141.6) g/L). The prevalence of anemia was 15.0%, and it was significantly lower than 10 years ago. The logistic regression analysis showed anemia in Chinese childbearing women was specifically related to 30–39 age group (P = 0.004), in spring (P < 0.0001) or in winter (P = 0.006), small and medium-sized cities (P = 0.044) and middle school education level (P = 0.027). The results showed that anemia status among childbearing women was greatly improved over 10 years since 2002, but it was still more severe than the rest of the populations. The nutrition propaganda and education is recommended for childbearing women to help them to improve the nutritional status on their own.


Author(s):  
Catarina Faria ◽  
Henedina Antunes ◽  
Teresa Pontes ◽  
Ana Antunes ◽  
Sofia Martins ◽  
...  

AbstractBackgroundVenous thromboembolism (VTE) – which includes deep venous thrombosis (DVT) and pulmonary embolism (PE) – has been increasingly recognized in the pediatric population. The estimated incidence is 0.07–0.14 cases per 10,000 children. Most cases are associated with two or more risk factors. Medium and long-term complications include recurrence and post-thrombotic syndrome (PTS).ObjectiveTo characterize the adolescent population with the diagnosis of DVT of lower limbs in a tertiary hospital, regarding its clinical presentation, associated risk factors, treatment and outcome.MethodsRetrospective analysis of adolescents with the diagnosis of DVT of lower limbs in our hospital for a period of 7 years.ResultsEight patients were identified; seven were females; median age was 15 years. The main symptoms were local pain and edema. Left lower limb was affected in six patients. PE occurred in two cases. Positive family history of venous thromboembolism was found in five patients. Seven patients had at least two identifiable risk factors. Combined oral contraceptive pill use was the most common (seven patients). Factor V Leiden mutation was found in three patients and protein C deficiency in one. Iliac vein compression syndrome was diagnosed in one patient. The median time for discharge was 8 days. Election treatment was enoxaparin followed by warfarin, for a median period of 10.9 months. Three patients developed PTS.ConclusionsAlthough uncommon, VTE is an emerging reality in adolescents, particularly in females using oral contraceptive pills. Appropriated prevention strategies and treatment are required as most orientations are extrapolated from adults.


2015 ◽  
Vol 5 (5) ◽  
pp. 408-409
Author(s):  
Toregeldy Sharmanov ◽  
Shamil Tazhibayev ◽  
Oksana Dolmatova ◽  
Aigul Nurgabilova ◽  
Altyn Sarsembayeva ◽  
...  

2005 ◽  
Vol 133 (3) ◽  
pp. 475-483 ◽  
Author(s):  
J. Q. NASH ◽  
S. CHISSEL ◽  
J. JONES ◽  
F. WARBURTON ◽  
N. Q. VERLANDER

The aim of this study was to establish the relative importance of various risk factors for toxoplasmosis in a United Kingdom antenatal population. Toxoplasma immune status was determined by an immunoassay and linked to a questionnaire exploring dietary and environmental exposure to toxoplasmosis. The overall seroprevalence found was 9·1% (172/1897). A significantly higher seroprevalence was associated with rural location of the childhood home, childhood home in Europe excluding the United Kingdom, feeding a dog raw meat and increased age. A non-significant higher prevalence of toxoplasmosis was observed in women who had lived with a cat or kitten as a child. In contrast to recent European studies only weak associations between diet and toxoplasmosis were found. Gardening activity was not associated with seropositivity but a non-significant lower seroprevalence was seen in gardeners who always wore gloves. This study confirms that toxoplasma prevalence in the United Kingdom has continued to decline since the 1960s. The increasing seroprevalence with age found in this study, highlights the continuing need to educate women of childbearing age about the risk factors for toxoplasmosis.


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