The cumulative Incidence of venous thromboembolism during pregnancy and puerperium - An 11 year Danish population-based study of 63,300 pregnancies

被引:121
作者
Andersen, BS
Steffensen, FH
Sorensen, HT
Nielsen, GL
Olsen, J
机构
[1] Univ Aarhus, Aarhus Univ Hosp, Danish Epidemiol Sci Ctr, Dept Epidemiol & Social Med, Aarhus, Denmark
[2] Univ Aarhus, Aarhus Univ Hosp, Dept Internal Med 4, Aarhus, Denmark
[3] Aalborg Hosp, Dept Internal Med M, Aalborg, Denmark
[4] Odder Hosp, Dept Internal Med, Odder, Denmark
关键词
pregnancy; puerperium; thrombosis; pulmonary embolism; thrombophilia;
D O I
10.1034/j.1600-0412.1998.770207.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objectives. The aim of the study was to estimate the cumulative incidence of venous thromboembolism during pregnancy and the puerperium. Methods. All diagnoses concerning venous thromboembolism in the Hospital Discharge Registry from a Danish County in women less than 49 years of age from 1984 to 1994 were included. The number of deliveries in the County during this period was obtained from The Medical Registry of Birth. Results. The cumulative incidence of venous thromboembolism during pregnancy and puerperium was 0.85 (95% CI: 0.64-1.11) per 1000 deliveries. The cumulative incidence was 0.49 (95% CI: 0.28-0.80) in 1984-89 but increased to 1.23 (95% CI: 0.87-1.69) after the introduction of ultrasound. Conclusion. The risk of diagnosed venous thromboembolism is low but estimates of the incidence are probably procedure dependent.
引用
收藏
页码:170 / 173
页数:4
相关论文
共 21 条
[1]   THROMBOPHLEBITIS ASSOCIATED WITH PREGNGNCY [J].
AARO, LA ;
JUERGENS, JL .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1971, 109 (08) :1128-&
[2]   MUTATION IN BLOOD-COAGULATION FACTOR-V ASSOCIATED WITH RESISTANCE TO ACTIVATED PROTEIN-C [J].
BERTINA, RM ;
KOELEMAN, BPC ;
KOSTER, T ;
ROSENDAAL, FR ;
DIRVEN, RJ ;
DERONDE, H ;
VANDERVELDEN, PA ;
REITSMA, PH .
NATURE, 1994, 369 (6475) :64-67
[3]  
CONARD J, 1990, THROMB HAEMOSTASIS, V63, P319
[4]   FAMILIAL THROMBOPHILIA DUE TO A PREVIOUSLY UNRECOGNIZED MECHANISM CHARACTERIZED BY POOR ANTICOAGULANT RESPONSE TO ACTIVATED PROTEIN-C - PREDICTION OF A COFACTOR TO ACTIVATED PROTEIN-C [J].
DAHLBACK, B ;
CARLSSON, M ;
SVENSSON, PJ .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1993, 90 (03) :1004-1008
[5]   ORAL CONTRACEPTIVES AND THROMBOEMBOLIC DISEASE [J].
DRILL, VA ;
CALHOUN, DW .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1968, 206 (01) :77-+
[6]   OBSTETRICAL PULMONARY-EMBOLISM MORTALITY, UNITED-STATES, 1970-85 [J].
FRANKS, AL ;
ATRASH, HK ;
LAWSON, HW ;
COLBERG, KS .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1990, 80 (06) :720-721
[7]  
FRIEDERICH PW, 1996, ANN INTERN MED, V125, P995
[8]   Drug therapy [J].
Ginsberg, JS .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 335 (24) :1816-1828
[9]   THROMBOSIS PROPHYLAXIS IN OBSTETRICS AND GYNECOLOGY [J].
GREER, IA ;
DESWIET, M .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1993, 100 (01) :37-40
[10]   RESISTANCE TO ACTIVATED PROTEIN-C AS A BASIS FOR VENOUS THROMBOEMBOLISM ASSOCIATED WITH PREGNANCY AND ORAL-CONTRACEPTIVES [J].
HELLGREN, M ;
SVENSSON, PJ ;
DAHLBACK, B .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1995, 173 (01) :210-213