Materials and methods
We performed a 3 year study on 71 patients with IBD, evaluating hypercoaugulability, and then we compared the results with 71 patients non IBD group control.
We also investigated patients of both groups concerning TE events occurred already.
Results
In IBD group we found out that 16 patients (22.5%) had a history of TE versus >1% of group control.
19 of them, already had knowledge of their previous hypercoaugulating condition.
48 (67%) had increased markers value versus less then 6% detected in group control.
In IBD group 43% ,20% and 4.2% had respectively 1, 1-3 or > 3 markers higher levels then normal range.
Among the markers investigated, we detected increased levels of plated in 33%, homocysteine in 26.7%, d-dimero 25.3%, c3 in 15.4%, apcr in 5.6%.
Conclusions
From our study we detected a higher incidence of TE events, and hypercoaugulating status in IBD group. In our previous investigations, plated, homocysteine, d-dimero, c3, and apcr, seemed to be the TE markers with higher sensibility.
It seems reasonable, according our experience, to propose a new TE risk score index for IBD patients:
low, mild and high risk respectively for patients with 1 , 1-3 and >3 markers with higher serum levels then normal range.
References
FarroKhyar F, Jan Irvine E, Swarbrick ET: A critical review of epidemiological studies in inflammatory bowel disease. Scand. J Gastroenterol. 2001, 1: 2-15. 10.1080/00365520150218002.
Bernstein CN, Wajda A, Blanchard JF: The incidence of arterial thromboembolic diseases in inflammatory bowel disease: a population-based study. Clin Gastroenterol Hepatol. 2008, 6: 41-45. 10.1016/j.cgh.2007.09.016.
Miehsler W, Reinisch W, Valic E, Osterode W, Tillinger W, Feichtenschlager T, Grisak J, Machold K, Scholz S, Vogelsang H, Novacek G: Is IBD an independent risk factor for thromboembolism. Gut. 2004, 53: 542-548. 10.1136/gut.2003.025411.
Webberley MJ, Hart MT, Melikian V: Thromboembolism in inflammatory bowel disease: role of platelets. Gut. 1993, 34 (z): 247-251. 10.1136/gut.34.2.247.
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Canero, A., Goffredi, L. & Apperti, M. Thromboembolic tendency (TE) in IBD (inflammatory bowel disease) patients. BMC Geriatr 10 (Suppl 1), A51 (2010). https://doi.org/10.1186/1471-2318-10-S1-A51
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DOI: https://doi.org/10.1186/1471-2318-10-S1-A51