Descriptive Analysis of Thromboembolic Events in COVID-19 Patients in Qatar
Ahmed F Ramzee, Ayman El-Menyar, Mohammad Asim, Hassan Al-Thani, Fakhar Shahid, Areen Fino, Yaser M Ata, Hamzah El Baba, Arun P Nair, Muna S Al Maslamani, Ruben Peralta, Sandro Rizoli
Citation Information :
Ramzee AF, El-Menyar A, Asim M, Al-Thani H, Shahid F, Fino A, Ata YM, El Baba H, Nair AP, Al Maslamani MS, Peralta R, Rizoli S. Descriptive Analysis of Thromboembolic Events in COVID-19 Patients in Qatar. Panam J Trauma Crit Care Emerg Surg 2023; 12 (3):120-130.
Background: Current literature shows an increased risk of thromboembolic events (TEE) with coronavirus disease of 2019 (COVID-19) infection, possibly due to a unique interplay between the virus and the coagulation system.
Materials and methods: A retrospective observational study of all patients with COVID-19 infection in the State of Qatar between February and August 2020 was performed. Analysis of all patients with TEE was carried out to identify other potential inciting factors for TEE.
Results: There were 210 out of 16,903 (1.2%) patients with COVID-19 infection who developed TEE. Myocardial infarction (MI) was the most common event (76.2), with 11% deep vein thrombosis (DVT) and <10% with pulmonary embolism (PE), stroke, and other thrombotic events.
Conclusion: Our study showed a low incidence of TEE compared to current literature. Patients with a previous history of thrombotic events were at a higher risk of developing a second event. Other significant contributing factors may have had a role in the development of TEE in the rest of the group. This questions the current belief that COVID-19 significantly increases the risk of TEE in the healthy population.
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