作者
David Spirk, Tim Sebastian, Martin Banyai, Jürg H Beer, Lucia Mazzolai, Thomas Baldi, Drahomir Aujesky, Daniel Hayoz, Rolf P Engelberger, Thomas Kaeslin, Wolfgang Korte, Robert Escher, Marc Husmann, Annette Mollet, Thomas D Szucs, Nils Kucher
发表日期
2019/11
来源
Seminars in thrombosis and hemostasis
卷号
45
期号
08
页码范围
851-858
出版商
Thieme Medical Publishers
简介
Renal impairment (RI) has increased substantially over the last decades. In the absence of data from confirmatory research, real-life data on anticoagulation treatment and clinical outcomes of venous thromboembolism (VTE) in patients with RI are needed. In the SWIss Venous ThromboEmbolism Registry (SWIVTER), 2,062 consecutive patients with objectively confirmed VTE were enrolled. In the present analysis, we compared characteristics, initial and maintenance anticoagulation, and adjusted 90-day clinical outcomes of those with (defined as estimated creatinine clearance < 30 mL/min) and without severe RI. Overall, 240 (12%) patients had severe RI; they were older, and more frequently had chronic and acute comorbidities. VTE severity was similar between patients with and without severe RI. Initial anticoagulation in patients with severe RI was more often performed with unfractionated heparin (44 vs. 24 …
引用总数
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