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Influence of the initial venous thrombo-embolism event on outcome in patients with COPD: Findings from the RIETE registry

Laurent Bertoletti, Sara Quenet, Silvy Laporte, Luis Hernandez, Juan José Martin-Villasclaras, Carlos Tolosa, Mariano Valdes, Manuel Barron, José Todoli, Manuel Monreal
European Respiratory Journal 2011 38: p3950; DOI:
Laurent Bertoletti
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Sara Quenet
1Thrombosis Research Group (EA3065), University of Saint-Etienne, Saint-Etienne, France
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Silvy Laporte
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Luis Hernandez
5Department of Pneumonology, Hospital General Universitario de Alicante, Alicante, Spain
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Juan José Martin-Villasclaras
6Department of Pneumonology, Hospital General Universitario Carlos Haya, Malaga, Spain
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Carlos Tolosa
7Department of Internal Medicine, Corporaciόn Sanitaria Parc Taulí, Sabadell, Barcelona, Spain
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Mariano Valdes
8Department of Internal Medicine, Hospital Viladecans, Viladencans, Barcelona, Spain
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Manuel Barron
9Department of Pneumonology, Complejo Hospitalario San Millán y San Pedro, Logroño, La Rioja, Spain
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José Todoli
10Department of Internal Medicine, Hospital Universitario la Fe, Valencia, Spain
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Manuel Monreal
11Department of Internal Medicine, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
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Abstract

Background: We recently found that COPD patients present more frequently with Pulmonary Embolism (PE) than Deep Venous Thrombosis (DVT) but also experience more death, PE and bleeding during a 3-month follow-up, than non-COPD patients.

Aims: To assess whether the 3-month outcomes of VTE patients with COPD depend on the initial VTE presentation, in the RIETE registry.

Method: We used a logistic regression to assess the association between the initial VTE presentation and the 3-month risk of death, bleeding and PE occurrence. Potential confounding factors were considered.

Results: 1761 (59%) of the 2984 COPD patients presented initially with PE. They were more frequently older and female, and less frequently obese or with a history of VTE than COPD patients with DVT. The 3-month cumulative incidence of symptomatic PE, death and major bleeding were respectively 1.5% (95%CI [1.1% - 1.9%]), 10.8% [2.1% - 3.2%] and 2.6% [9.7% - 11.9%]. Factors associated with these outcomes are presented in Table 1.

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Conclusions: COPD patients initially presenting with PE are at a 3-month higher risk of death and major bleeding. Whether more efficient treatments without any increased bleeding risk (as filter) could improve their prognostic deserves further research.

  • © 2011 ERS
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Influence of the initial venous thrombo-embolism event on outcome in patients with COPD: Findings from the RIETE registry
Laurent Bertoletti, Sara Quenet, Silvy Laporte, Luis Hernandez, Juan José Martin-Villasclaras, Carlos Tolosa, Mariano Valdes, Manuel Barron, José Todoli, Manuel Monreal
European Respiratory Journal Sep 2011, 38 (Suppl 55) p3950;

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Influence of the initial venous thrombo-embolism event on outcome in patients with COPD: Findings from the RIETE registry
Laurent Bertoletti, Sara Quenet, Silvy Laporte, Luis Hernandez, Juan José Martin-Villasclaras, Carlos Tolosa, Mariano Valdes, Manuel Barron, José Todoli, Manuel Monreal
European Respiratory Journal Sep 2011, 38 (Suppl 55) p3950;
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