Wednesday , October 5 2022

Increasing cases of vascular thromboembolism in young people


SETH President Joan Carles Reverter

on October 13, World Thrombosis Day, a condition responsible for acute myocardial infarction, ischemic stroke, and venous thromboembolism (VTE). Every minute in the world, one person is diagnosed with thrombosis and another person is diagnosed with thrombosis. dies from this disease every 6 minutes. Although it represents one out of every four deaths in the world, it is still an unknown pathology in the population.

Spanish Society of Thrombosis and Hemostasis (SETH) and Spanish Society of Hematology and Hematology (SEHH) will commemorate this earth day with the illumination of Pamplona City Council and will provide information about this disease within the framework of the campaign. “Get closer to hematology. We know your blood, do you know us?”, An awareness raising event sponsored by SEHH, SETH and the Spanish Society for Blood Transfusion (SETS), which will take place at Plaza del Baluarte in Pamplona from October 13-16, coinciding with the National Congress of Hematology, Hemotherapy, Thrombosis and Hemostasis.

The coronavirus, which has spearheaded much of the conversation since its emergence, has made thrombosis a little more known as the virus itself can cause thrombotic conditions. Added to this is confinement, a measure that seeks to contain Covid-19 but encourages many citizens to sit for long periods of time in front of the television or computer. This resulted increase in cases of vascular thromboembolism among young people without a prior risk factor and therefore a concern among experts.

VTE is responsible for more deaths each year from breast cancer, HIV and traffic accidents combined.“We want to insist on data that many people don’t know about and therefore the importance of preventing it,” says SETH president Joan Carles Reverter.

Hospitalization and thrombosis

Likewise, “society should know that, in general, there is an additional risk condition after discharge from the hospital, This necessitates taking preventive measures against thrombosis,” Reverter elaborates. Up to 60 percent of VTE cases occur during or after hospitalization.

According to the SETH president, “it is very important that both professionals and patients know. recognize the symptoms of the disease to draw attention to the diagnosis and start treatment quickly to avoid complications. “

In addition, the expert said, “TEV, major cause of loss of life years adjusted for quality (QualityAdjustedLifeYear in English terminology), far more so than other diseases such as hospital pneumonia or sepsis and adverse drug reactions”.

Prevention of VTE in hospitalized patients

TEV, acMajor preventable cause of death in hospitals if adequate preventive measures are taken (thromboprophylaxis). As Reverter points out, “multiple studies have demonstrated that the use of anticoagulant drugs, primarily subcutaneous low molecular weight heparins and direct oral anticoagulants, produces a very significant reduction in thrombotic events, particularly in patients hospitalized for a major surgical procedure”.

“There is not enough information about this disease among the general public”

NS In addition, pharmacological measures include “other physical, such as early mobilization and the use of elastic stockings. The thromboprophylaxis strategy should be individualized, taking into account patient characteristics and bleeding risks,” he adds.

For the head of SETH, “There is not enough information about this disease among the general population. In the researches, awareness of the VTE problem is much lower than other diseases such as myocardial infarction, stroke, hypertension, breast cancer, prostate cancer and AIDS. Also, less than half of adults know that thrombosis can be prevented.

risk factors for VTE

hand TEV affects people of all ages, races and ethnic backgrounds, and occurs in both men and women. Certain factors and conditions can increase the risk of developing a life-threatening clot. NS Venous thromboembolism is an important cause of death and disability. all over the world; represents the third cause of cardiovascular mortality after acute myocardial infarction and stroke. Therefore, experts emphasize the importance of knowing what the risk factors are that can lead to this condition.

Situations where the risk of suffering from the disease is highest are associated with major surgery, hospitalization and prolonged inactivity, cancer, or genetic changes that favor blood clotting. Other factors such as advanced age, family history of coagulation disorders, and treatments such as chemotherapy, hormone replacement therapies, and oral contraceptives may also favor the development of VTE.

“By focusing efforts on VTE prevention, health systems can save money”

TEV’s economic burden

In addition to morbidity and mortality, VTE imposes a significant economic burden on the health system. Multiple diagnostic tests, treatments, long hospital stays, and follow-up care (including recurrent VTE) may be performed. very expensive.

How does SETH affect the president? “By focusing efforts on VTE prevention, healthcare systems can save money.or improve results and basically save lives. Some countries have already implemented VTE policies and protocols that standardize (or even encourage) adequate VTE prevention practice”.

To avoid hospitalization-related VTE, “Hospitals should establish and implement a VTE prevention protocol. to make them more secure. For this, guidelines established by the latest clinical guidelines based on an individual risk assessment of all hospitalized patients and an adequate preventive regimen are recommended,” says the expert.

It is therefore the mission of “hospitals, healthcare systems, legislators and organizations responsible for hospital quality worldwide. Make VTE prevention protocol a priority inpatient safety issue”, concludes Joan Carles Reverter.

Although it may contain statements, data or notes from health institutions or professionals, the information contained in Medical Writing is edited and prepared by journalists. We recommend that any health-related question consult the reader with a healthcare professional.

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