The increasing incidence of thromboembolic events among hospitalized patients with inflammatory bowel disease. Vascular 2015 Jun;23(3):260-4
Date
07/06/2014Pubmed ID
24986868DOI
10.1177/1708538114541799Scopus ID
2-s2.0-84930149801 (requires institutional sign-in at Scopus site) 18 CitationsAbstract
BACKGROUND: We performed a national population-based study examining the incidence of both venous and arterial thromboembolic events in patients hospitalized with inflammatory bowel disease over the past decade.
METHODS: A retrospective cross-sectional analysis using the Nationwide Inpatient Sample Database was performed. Patients hospitalized with Crohn's disease and ulcerative colitis were identified using ICD-9 codes. The incidence of clinically relevant venous thromboembolic events and arterial thromboembolic events including myocardial infarction, visceral ischemia, cerebrovascular accidents, and peripheral arterial events was examined.
RESULTS: During the study period, 461,415 hospitalized inflammatory bowel disease patients were identified. Among these patients, 28,820 had a diagnosis of a thromboembolic event (overall prevalence of 6%). The incidence of thromboembolic events in patients with inflammatory bowel disease rose from 5.65% in 2000 to 7.17% by 2009. There were 18,270 (3.96%) patients who had an arterial thrombotic event, the most common being myocardial infarction (50%), followed by visceral ischemia (25%), and cerebrovascular incidents (22%). There were 11,083 (2.4%) patients identified to have had a venous thrombotic event, with the most common manifestation being deep vein thrombosis (77%), pulmonary embolism (32%), and portal vein thrombosis (3.9%).
CONCLUSION: An increasing incidence of thromboembolic event in patients with inflammatory bowel disease was observed over the past decade. Interestingly, there were more arterial thrombotic events in comparison to venous thrombotic events.
Author List
Kuy S, Dua A, Chappidi R, Seabrook G, Brown KR, Lewis B, Rossi PJ, Lee CJAuthors
Kellie R. Brown MD Professor in the Surgery department at Medical College of WisconsinBrian D. Lewis MD Professor in the Surgery department at Medical College of Wisconsin
Peter J. Rossi MD Chief, Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Age FactorsAged
Cross-Sectional Studies
Female
Humans
Incidence
Inflammatory Bowel Diseases
Male
Middle Aged
Prevalence
Pulmonary Embolism
Retrospective Studies
Sex Factors
Stroke
Thromboembolism
Venous Thrombosis
