Incidence of Pregnancy-Associated Venous Thromboembolism

Letters21 March 2006Incidence of Pregnancy-Associated Venous ThromboembolismPaul D. Stein, MD, Fadi Kayali, MD, Allen Silbergleit, MD, Russell D. Hull, MBBS, MSc, Ronald E. Olson, PhD, and Frederick A. Meyers, MDPaul D. Stein, MDFrom St. Joseph Mercy-Oakland Hospital, Pontiac, MI 48341; University of Calgary, Calgary, Alberta T2N 2T9, Canada; Oakland University, Rochester, MI 48309; and George Washington University, Washington, DC 20037., Fadi Kayali, MDFrom St. Joseph Mercy-Oakland Hospital, Pontiac, MI 48341; University of Calgary, Calgary, Alberta T2N 2T9, Canada; Oakland University, Rochester, MI 48309; and George Washington University, Washington, DC 20037., Allen Silbergleit, MDFrom St. Joseph Mercy-Oakland Hospital, Pontiac, MI 48341; University of Calgary, Calgary, Alberta T2N 2T9, Canada; Oakland University, Rochester, MI 48309; and George Washington University, Washington, DC 20037., Russell D. Hull, MBBS, MScFrom St. Joseph Mercy-Oakland Hospital, Pontiac, MI 48341; University of Calgary, Calgary, Alberta T2N 2T9, Canada; Oakland University, Rochester, MI 48309; and George Washington University, Washington, DC 20037., Ronald E. Olson, PhDFrom St. Joseph Mercy-Oakland Hospital, Pontiac, MI 48341; University of Calgary, Calgary, Alberta T2N 2T9, Canada; Oakland University, Rochester, MI 48309; and George Washington University, Washington, DC 20037., and Frederick A. Meyers, MDFrom St. Joseph Mercy-Oakland Hospital, Pontiac, MI 48341; University of Calgary, Calgary, Alberta T2N 2T9, Canada; Oakland University, Rochester, MI 48309; and George Washington University, Washington, DC 20037.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-144-6-200603210-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Heit and colleagues (1) stated that there are few data regarding the relative risks for venous thromboembolism during pregnancy. After examining 105 patients with deep venous thrombosis (DVT) or pulmonary embolism (PE) during pregnancy or postpartum, the authors estimated that the incidence of DVT during pregnancy remained essentially unchanged over the 30-year period of study and that the incidence of postpartum DVT declined. The authors speculated that early mobilization and shorter hospitalization after delivery may have contributed to this result. This apparently advantageous observation, based on a limited database, may cause physicians to become complacent.We reported ...References1. Heit JA, Kobbervig CE, James AH, Petterson TM, Bailey KR, Melton LJ. Trends in the incidence of venous thromboembolism during pregnancy or postpartum: a 30-year population-based study. Ann Intern Med. 2005;143:697-706. [PMID: 16287790] LinkGoogle Scholar2. Stein PD, Hull RD, Kayali F, Olson RE, Alshab AK, Meyers FA, et al. Venous thromboembolism in pregnancy: 21-year trends. Am J Med. 2004;117:121-5. [PMID: 15234649] CrossrefMedlineGoogle Scholar3. Stein PD, Hull RD, Ghali WA, Patel KC, Olson RE, Meyers FA, et al. Tracking the uptake of evidence: two decades of hospital practice trends for diagnosing deep vein thrombosis and pulmonary embolism. Arch Intern Med. 2003;163:1213-9. [PMID: 12767959] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From St. Joseph Mercy-Oakland Hospital, Pontiac, MI 48341; University of Calgary, Calgary, Alberta T2N 2T9, Canada; Oakland University, Rochester, MI 48309; and George Washington University, Washington, DC 20037.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoTrends in the Incidence of Venous Thromboembolism during Pregnancy or Postpartum: A 30-Year Population-Based Study John A. Heit , Catie E. Kobbervig , Andra H. James , Tanya M. Petterson , Kent R. Bailey , and L. Joseph Melton III Incidence of Pregnancy-Associated Venous Thromboembolism John A. Heit , Kent R. Bailey , and L. Joseph Melton III Incidence of Pregnancy-Associated Venous Thromboembolism Peter K. MacCallum , Enid M. Hennessey , and Shohreh Beski Incidence of Pregnancy-Associated Venous Thromboembolism Vijay Rajput and Huma Q. Rana Metrics Cited byThe Hemostasis Apparatus in Pancreatic Cancer and Its Importance beyond Thrombosis 21 March 2006Volume 144, Issue 6Page: 453-454KeywordsDatabasesDeep vein thrombosisHospitalizationsPregnancyProphylaxisPulmonary embolismResearch designVenous thromboembolism ePublished: 21 March 2006 Issue Published: 21 March 2006 Copyright & PermissionsCopyright © 2006 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...

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