Published 2024-11-15
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Epidemiological characteristics and risk factors associated with post covid-19 thromboembolic events in a tertiary level hospital in Colombia

DOI: https://doi.org/10.22490/24629448.8552
Catalina Estrada González Universidad Libre Seccional Cali
Armando Lucumí Moreno Universidad Libre Seccional Cali
Carlos Alberto Sánchez Hospital San José Popayán
Carlos Javier Muñoz Hospital San José Popayán
Mónica Chávez Vivas Universidad Libre Seccional Cali

 Introduction. Thromboembolic events trigger significant morbidity and mortality, high 
rates of hospital readmissions, poor patient quality of life, and a considerable economic im
pact.

Objective. To characterize epidemiologically the risk factors associated with throm
boembolic events post COVID-19 in a tertiary level hospital in Colombia.

Methodology. 
A descriptive cross-sectional study was carried out with the review of 501 medical records 
of patients over 18 years of age who had suffered a thromboembolic event during January 
2021-December 2022. Categorical variables were analyzed using Fisher or chi-square tests. 
Univariate and multivariate logistic regression was used to assess the effects of thromboem
bolic complications. Patient survival was analyzed according to the Kaplan-Meier method. 
Values of p<0.05 were considered significant.

Results. Stroke (OR=3.099; 95%CI:1.509
6.364, p=0.002) and deep vein thrombosis (DVT) (OR=3.921, 95%CI:1.577-9.708, p=0.003) 
were significant in patients with a clinical history of COVID-19 disease. CVA was positi
vely associated with death in the patients studied (OR=1.945; 95%CI:1.093-4.065, p=0.016). 
Patients older than 71 years, hypertensive or with chronic obstructive pulmonary disease 
(COPD), had a higher risk of death due to a thromboembolic event. Conclusion. In this 
study, stroke and ischemic heart disease were the most common thromboembolic events. 
Survival was influenced by hypertension, chronic kidney disease (CKD) or COPD as asso
ciated risk factors for death due to a thromboembolic event. In patients with a history of 
COVID-19 infection, CVA and DVT were the most significant.

Conclusions. CVA and 
myocardial Ischemia were the most frequently encountered thromboembolic events. Sur
vival was influenced by hypertension or COPD. In patients with a history of COVID-19 
infection, CVA and DVT were the most significant.

keywords: Thromboembolism, Stroke, Myocardial infarction, Myocardial ischemia, Risk factors
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Copyright (c) 2024 Catalina Estrada González, Armando Lucumí Moreno, Carlos Alberto Sánchez, Carlos Javier Muñoz, Mónica Chávez Vivas

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

How to Cite
Estrada González, C., Lucumí Moreno, A. ., Sánchez, C. A. ., Muñoz, C. J. ., & Chávez Vivas, M. . (2024). Epidemiological characteristics and risk factors associated with post covid-19 thromboembolic events in a tertiary level hospital in Colombia. NOVA Biomedical Sciences Journal, 22(43), 7-24. https://doi.org/10.22490/24629448.8552
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