Portal-splenic-mesenteric venous thrombosis in COVID-19 patients: a systematic review
Trombose venosa porto-espleno-mesentérica em pacientes com COVID-19: uma revisão sistemática
Ricardo Zanetti Gomes; Matheus Von Jelita Salina; Vitor Hugo Moro Pironatto; Julia Kapp Lepinski; Tiago Daniel Gueiber; Beatriz Moreira Salles Juliatto; Milena Zadra Prestes; Camila Marinelli Martins
Abstract
Keywords
Resumo
A pandemia de covid-19 afetou milhões de pessoas no mundo todo. A infecção pelo vírus, além de comprometer o sistema respiratório, pode promover sintomas gastrointestinais decorrentes de afecções vasculares, como a trombose venosa porto-espleno-mesentérica (TVPEM). A presente revisão sistemática teve como objetivo investigar o perfil dos pacientes que desenvolveram TVPEM concomitantemente ou subsequente à infecção por covid-19, bem como os desfechos predominantes. De 214 artigos identificados nas bases de dados, 40 relatos de casos foram incluídos na revisão, incluindo 41 casos de TVPEM. O sexo masculino foi o mais prevalente (n=27; 65,85%), com média de idade de 51,54 anos, sendo que 19,57% dos pacientes tinham doença endocrinológica prévia. Foi encontrada relação estatisticamente significativa (p<0,05) entre óbito dos pacientes e a presença de taquipneia na admissão (p=0,043), assim como entre óbito e a idade dos pacientes (p=0,019). Assim, foi possível identificar os principais perfis e fatores de risco para o desenvolvimento e mortalidade da TVPEM em pacientes com covid-19.
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References
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Submitted date:
07/24/2024
Accepted date:
10/17/2024
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