Incidence of Pregnancy-Associated Venous Thromboembolism: Second Nationwide Study
DC Field | Value | Language |
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dc.contributor.author | Hwang, Hun-Gyu | - |
dc.contributor.author | Lee, Ju Hyun | - |
dc.contributor.author | Bang, Soo-Mee | - |
dc.date.accessioned | 2023-08-07T03:40:27Z | - |
dc.date.available | 2023-08-07T03:40:27Z | - |
dc.date.issued | 2023-09 | - |
dc.identifier.issn | 0340-6245 | - |
dc.identifier.issn | 2567-689X | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/22585 | - |
dc.description.abstract | Background Pregnancy is a transient risk factor for venous thromboembolism (VTE). This second nationwide study aimed to inspect trend changes in the incidence rate of pregnancy-associated VTE (PA-VTE) during the study period (2014-2018) compared with that reported in a previous study (2006-2010).Methods Using the Korean Health Insurance Review and Assessment Service database, we retrospectively identified all PA-VTE events using both diagnostic and medication codes.Results Of the 124,228 VTE events, 510 (0.4%) cases of PA-VTE were identified in 499 women (median age: 34 years; range: 20-49 years). The incidence rate of PA-VTE/ 10,000 deliveries (PA-VTE/10(4)D) in this second study (2.62) was 3.2 times higher than that in the first study (0.82). In the second study, the PA-VTE/10(4)D ratio of women in their 40s (5.46) was three times higher than that of women in their 20s (1.80) (relative risk: 3.03; 95% confidence interval: 2.04-4.51; p < 0.01). The incidence rate for women in their 40s in the second study was 2.3 times higher than that in the first study. PA-VTE/ 10(4)D cases occurred more frequently in multiparous than in primiparous women, in cesarean section cases compared with vaginal delivery, and in multiple rather than single pregnancies. Most PA-VTE cases occurred during the postpartum period (321/510, 62.9%), of which pulmonary embolism was the most frequently occurring type (231/321, 72%).Conclusion Advanced maternal age, cesarean section, multiparity, and multifetal pregnancies increased the risk of PA-VTE. Obstetricians need to be cautious of VTE, particularly during the postpartum period, in high-risk pregnant patients. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Schattauer | - |
dc.title | Incidence of Pregnancy-Associated Venous Thromboembolism: Second Nationwide Study | - |
dc.type | Article | - |
dc.publisher.location | 독일 | - |
dc.identifier.doi | 10.1055/a-2019-0607 | - |
dc.identifier.wosid | 000939789200001 | - |
dc.identifier.bibliographicCitation | Thrombosis and Haemostasis, v.123, no.09, pp 904 - 910 | - |
dc.citation.title | Thrombosis and Haemostasis | - |
dc.citation.volume | 123 | - |
dc.citation.number | 09 | - |
dc.citation.startPage | 904 | - |
dc.citation.endPage | 910 | - |
dc.type.docType | Article; Early Access | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Hematology | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Hematology | - |
dc.relation.journalWebOfScienceCategory | Peripheral Vascular Disease | - |
dc.subject.keywordPlus | POSTPARTUM PERIOD | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | THROMBOSIS | - |
dc.subject.keywordPlus | HEALTH | - |
dc.subject.keywordPlus | KOREA | - |
dc.subject.keywordPlus | THROMBOPHILIA | - |
dc.subject.keywordPlus | PREVENTION | - |
dc.subject.keywordAuthor | pregnancy | - |
dc.subject.keywordAuthor | venous thromboembolism | - |
dc.subject.keywordAuthor | age | - |
dc.subject.keywordAuthor | cesarean section | - |
dc.subject.keywordAuthor | multiparity | - |
dc.subject.keywordAuthor | multifetal pregnancies | - |
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