ORIGINAL RESEARCH ARTICLE
Risk factors for thrombosis risk in patients with cancer
Received Date : 23 Apr 2018
Accepted Date : 19 Sep 2018
Dilara Turana, Hatime Arzu Yasarb, Ozge Bas Aksua, Elif Berna Koksoyc, Gungor Utkanb, Hakan Akbulutb, Yuksel Urunb
aAnkara University School of Medicine, Department of Internal Medicine, Ankara, Turkey
bAnkara University School of Medicine, Department of Medical Oncology, Ankara, Turkey
cKastamonu State Hospital, Department of Medical Oncology, Kastamomu, Turkey
Doi: 10.1016/j.jons.2018.09.001 - Article's Language: EN
Journal of Oncological Sciences 4 (2018) 130-133
ABSTRACT
Aim: To evaluate the factors associated with Deep vein thrombosis (DVT) and pulmonary thromboembolism (PTE) in cancer patients.
Materials and Methods: A total of 237 cancer patients who underwent lower extremity venous Doppler Ultrasonography (USG) and/or pulmonary computed tomography angiography (PCTA) were included. Patients’ demographic characteristics; chemotherapy data; immobilization status; use of central venous catheter; histories of 4-day-long bed rest, surgery within the last 6 months, long anesthesia for at least 2 hours, smoking, patients’ laboratory tests, ABO blood group, PCTA and lower extremity Doppler USG results were retrospectively reviewed through the hospital information management system.
Results: The median age was 62 (age range 25 to 89). Thrombosis was detected in 83 patients according to the results of venous Doppler USG and/or PCTA of those patients who underwent imaging. Immobilization status (p¼0.019), history of surgery within the last 6 months (p¼0.02), anesthesia more than 2 hours (p¼0.012) and 4-day-long bed rest (p¼0.03) were found to be significantly associated with related risk of thrombosis. Additionally, thrombosis was found more frequently in the non-O group (especially group B) than in O group (p:0.024).
Conclusions: Besides well-known risk factors, blood group may be related with risk of thrombosis in the patients with the cancer diagnosis
Keywords: ABO blood group; Cancer; Pulmonary thromboembolism; Deep vein thrombosis