Year : 2011 | Volume : 2 | Issue : 3 | Page : 243--247
Investigational approach and management of venous thromboembolism at Rashid Hospital, Dubai, United Arab Emirates
Ahmad Al Rustamani
Rashid Hospital P.O. Box 4545 Dubai, United Arab Emirates
Venous thromboembolism (VTE) is a common disorder that is associated with long-term complications. Deep venous thrombosis(DVT) and pulmonary embolism (PE) are recognized presentation for VTE, although their presentation and managements are variable. This retrospective study explored the presentation, investigational approach and therapeutic interventions used for VTE at Rashid Hospital, Dubai, United Arab Emirates . We included patients (75 male (64%) and 43 females (36%)) diagnosed with VTE who confirmed by supportive laboratory and radiological tests. Data was collected from the medical records using ICD-10 coding of VTE between January 2007 and January 2010. Our cohort represented the multi-ethnical Dubai population comprising 40% Arabs, 37% Asians and 10% European. Sixty-five patients had PE and 53 patients had isolated DVT. Recurrent DVT events occurred in 3 patients. Calf pain and shortness of breath were the common presentation for DVT and PE, respectively. Doppler Ultra Sound Doppler and Computed Tomography were the preferred radiological testing for VTE. Smoking was present in 14% of subjects, active cancer in 11%, history of trauma in 16%, history of recent long distance travel in 15% and chronic illness in 16%. Among the PE cases, 25 patients (38%) had concomitant DVT. A thrombophilia test was positive in 2 (5%) of 37 cases. Presentation of VTE at Rashid Hospital shows similarities to other registries and utilizing clinical prediction models can unify the diagnostic approach. Developing a VTE registry will have an impact in our understanding this disease.