Impact of thrombosis location on walking capacity: a cohort study of patients with acute deep vein thrombosis.

deep vein thrombosis exercise test mobility limitation quality of life venous thromboembolism

Journal

Research and practice in thrombosis and haemostasis
ISSN: 2475-0379
Titre abrégé: Res Pract Thromb Haemost
Pays: United States
ID NLM: 101703775

Informations de publication

Date de publication:
Jan 2024
Historique:
received: 27 10 2023
revised: 28 12 2023
accepted: 16 01 2024
medline: 29 2 2024
pubmed: 29 2 2024
entrez: 29 2 2024
Statut: epublish

Résumé

Data on walking impairment during the acute phase of deep vein thrombosis (DVT) are limited. This study aimed to assess the degree of walking impairment in patients with acute DVT, with a particular focus on the relation to the DVT's anatomical location. Patients with sonographically confirmed DVT were eligible for inclusion in this cohort study. Pain-free walking distance (PWD) and maximum walking distance (MWD) were determined using standardized treadmill ergometer tests and analyzed in relation to DVT location. The impact of previous DVT on walking capacity was evaluated in an exploratory analysis. The study included 64 patients (31% women; median age, 55 years). The median (IQR) time from diagnosis to exercise test was 3 (1-5) days. Patients with suprainguinal DVT demonstrated significantly shorter median (IQR) MWD than those with infrainguinal DVT (130 (61-202) m vs 565 (128-750) m; Suprainguinal DVT was linked to a more pronounced walking impairment compared with infrainguinal DVT. Limited walking capacity was associated with a reduced quality of life.

Sections du résumé

Background UNASSIGNED
Data on walking impairment during the acute phase of deep vein thrombosis (DVT) are limited.
Objectives UNASSIGNED
This study aimed to assess the degree of walking impairment in patients with acute DVT, with a particular focus on the relation to the DVT's anatomical location.
Methods UNASSIGNED
Patients with sonographically confirmed DVT were eligible for inclusion in this cohort study. Pain-free walking distance (PWD) and maximum walking distance (MWD) were determined using standardized treadmill ergometer tests and analyzed in relation to DVT location. The impact of previous DVT on walking capacity was evaluated in an exploratory analysis.
Results UNASSIGNED
The study included 64 patients (31% women; median age, 55 years). The median (IQR) time from diagnosis to exercise test was 3 (1-5) days. Patients with suprainguinal DVT demonstrated significantly shorter median (IQR) MWD than those with infrainguinal DVT (130 (61-202) m vs 565 (128-750) m;
Conclusion UNASSIGNED
Suprainguinal DVT was linked to a more pronounced walking impairment compared with infrainguinal DVT. Limited walking capacity was associated with a reduced quality of life.

Identifiants

pubmed: 38419653
doi: 10.1016/j.rpth.2024.102324
pii: S2475-0379(24)00011-6
pmc: PMC10899038
doi:

Types de publication

Journal Article

Langues

eng

Pagination

102324

Informations de copyright

© 2024 The Author(s).

Auteurs

Daniel Steiner (D)

Division of Hematology and Hemostaseology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.

Stephan Nopp (S)

Division of Hematology and Hemostaseology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.

Ingrid Pabinger (I)

Division of Hematology and Hemostaseology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.

Eva Dassler (E)

Division of Angiology, Department of Medicine II, Medical University of Vienna, Vienna, Austria.

Renate Koppensteiner (R)

Division of Angiology, Department of Medicine II, Medical University of Vienna, Vienna, Austria.

Markus Müller (M)

Division of Angiology, Department of Medicine II, Medical University of Vienna, Vienna, Austria.

Benedikt Weber (B)

Department of Dermatology, Medical University of Vienna, Vienna, Austria.

Cihan Ay (C)

Division of Hematology and Hemostaseology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.

Oliver Schlager (O)

Division of Angiology, Department of Medicine II, Medical University of Vienna, Vienna, Austria.

Classifications MeSH