Evaluation of the IMPROVE-DD score in COVID-19 patients submitted to venous thromboembolism investigation at a hospital in Brazil

ABSTRACT Objectives: To evaluate the incidence of venous thromboembolism (VTE) in hospitalized patients with COVID-19 who underwent diagnostic tests for suspected VTE, and to correlate the IMPROVE-DD score with the incidence of VTE in this cohort. Methods: This retrospective study included consecu...

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Main Authors: Ronney Argolo Ferreira, Lian Zanatta, Juliane Bispo de Oliveira, Janaina Ibele Carvalho Gomes, Luiz Ritt, Ana Thereza Cavalcanti Rocha
Format: Article
Language:English
Published: Sociedade Brasileira de Pneumologia e Tisiologia 2025-03-01
Series:Jornal Brasileiro de Pneumologia
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132025000100600&lng=en&tlng=en
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author Ronney Argolo Ferreira
Lian Zanatta
Juliane Bispo de Oliveira
Janaina Ibele Carvalho Gomes
Luiz Ritt
Ana Thereza Cavalcanti Rocha
author_facet Ronney Argolo Ferreira
Lian Zanatta
Juliane Bispo de Oliveira
Janaina Ibele Carvalho Gomes
Luiz Ritt
Ana Thereza Cavalcanti Rocha
author_sort Ronney Argolo Ferreira
collection DOAJ
description ABSTRACT Objectives: To evaluate the incidence of venous thromboembolism (VTE) in hospitalized patients with COVID-19 who underwent diagnostic tests for suspected VTE, and to correlate the IMPROVE-DD score with the incidence of VTE in this cohort. Methods: This retrospective study included consecutive patients with COVID-19 and suspected VTE, admitted between March 2020 and September 2021 at a private hospital in Salvador (BA), Brazil, who underwent lower or upper limb venous Doppler ultrasound or chest angiotomography. Descriptive analyses and comparisons using the chi-square test were performed to identify factors potentially associated with the risk of VTE. Results: A total of 517 patients were included, with an in-hospital VTE incidence of 18.6% (96 events). Risk factors significantly associated with VTE included obesity, ICU admission, central venous catheter use, longer hospital stays, greater lung tomographic involvement/severity, the need for mechanical ventilation, D-dimer levels at least twice the upper limit of normal (2xULN), and the IMPROVE-DD score. The mean IMPROVE-DD score among patients with VTE was 4.7 (±3) versus 3.3 (±2.4) in those without VTE (p < 0.0001). D-dimer 2xULN was sensitive in identifying 94% of the 96 patients with VTE (p < 0.0001). The in-hospital mortality rate was 14.1%, with higher rates observed in patients with VTE (24%) compared to those without VTE (11.9%) (p = 0.003). Conclusions: The incidence of VTE in hospitalized COVID-19 patients was high and correlated with increased mortality. The IMPROVE-DD score effectively identified patients at risk for in-hospital VTE, suggesting it could help to identify a high-risk subgroup that may benefit from extended thromboprophylaxis.
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spelling doaj-art-920df9cb1006404eae15565d402ea5032025-08-20T02:26:01ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-37562025-03-0151110.36416/1806-3756/e20240042Evaluation of the IMPROVE-DD score in COVID-19 patients submitted to venous thromboembolism investigation at a hospital in BrazilRonney Argolo Ferreirahttps://orcid.org/0000-0001-6619-2402Lian Zanattahttps://orcid.org/0000-0003-0290-9157Juliane Bispo de Oliveirahttps://orcid.org/0000-0003-4129-3324Janaina Ibele Carvalho Gomeshttps://orcid.org/0000-0002-1988-0699Luiz Ritthttps://orcid.org/0000-0001-9320-7999Ana Thereza Cavalcanti Rochahttps://orcid.org/0000-0002-5321-2598ABSTRACT Objectives: To evaluate the incidence of venous thromboembolism (VTE) in hospitalized patients with COVID-19 who underwent diagnostic tests for suspected VTE, and to correlate the IMPROVE-DD score with the incidence of VTE in this cohort. Methods: This retrospective study included consecutive patients with COVID-19 and suspected VTE, admitted between March 2020 and September 2021 at a private hospital in Salvador (BA), Brazil, who underwent lower or upper limb venous Doppler ultrasound or chest angiotomography. Descriptive analyses and comparisons using the chi-square test were performed to identify factors potentially associated with the risk of VTE. Results: A total of 517 patients were included, with an in-hospital VTE incidence of 18.6% (96 events). Risk factors significantly associated with VTE included obesity, ICU admission, central venous catheter use, longer hospital stays, greater lung tomographic involvement/severity, the need for mechanical ventilation, D-dimer levels at least twice the upper limit of normal (2xULN), and the IMPROVE-DD score. The mean IMPROVE-DD score among patients with VTE was 4.7 (±3) versus 3.3 (±2.4) in those without VTE (p < 0.0001). D-dimer 2xULN was sensitive in identifying 94% of the 96 patients with VTE (p < 0.0001). The in-hospital mortality rate was 14.1%, with higher rates observed in patients with VTE (24%) compared to those without VTE (11.9%) (p = 0.003). Conclusions: The incidence of VTE in hospitalized COVID-19 patients was high and correlated with increased mortality. The IMPROVE-DD score effectively identified patients at risk for in-hospital VTE, suggesting it could help to identify a high-risk subgroup that may benefit from extended thromboprophylaxis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132025000100600&lng=en&tlng=enVenous thromboembolismCOVID-19IMPROVE-DD
spellingShingle Ronney Argolo Ferreira
Lian Zanatta
Juliane Bispo de Oliveira
Janaina Ibele Carvalho Gomes
Luiz Ritt
Ana Thereza Cavalcanti Rocha
Evaluation of the IMPROVE-DD score in COVID-19 patients submitted to venous thromboembolism investigation at a hospital in Brazil
Jornal Brasileiro de Pneumologia
Venous thromboembolism
COVID-19
IMPROVE-DD
title Evaluation of the IMPROVE-DD score in COVID-19 patients submitted to venous thromboembolism investigation at a hospital in Brazil
title_full Evaluation of the IMPROVE-DD score in COVID-19 patients submitted to venous thromboembolism investigation at a hospital in Brazil
title_fullStr Evaluation of the IMPROVE-DD score in COVID-19 patients submitted to venous thromboembolism investigation at a hospital in Brazil
title_full_unstemmed Evaluation of the IMPROVE-DD score in COVID-19 patients submitted to venous thromboembolism investigation at a hospital in Brazil
title_short Evaluation of the IMPROVE-DD score in COVID-19 patients submitted to venous thromboembolism investigation at a hospital in Brazil
title_sort evaluation of the improve dd score in covid 19 patients submitted to venous thromboembolism investigation at a hospital in brazil
topic Venous thromboembolism
COVID-19
IMPROVE-DD
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132025000100600&lng=en&tlng=en
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