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J Thromb Haemost. 2012 Jul;10(7):1297-302. doi: 10.1111/j.1538-7836.2012.04774.x.

Long-term outcomes of patients with cerebral vein thrombosis: a multicenter study.

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1
Department of Clinical Medicine, University of Insubria, Varese, Italy. fdentali@libero.it

Erratum in

  • J Thromb Haemost. 2013 Feb;11(2):399. Stefano, V D [corrected to De Stefano, V].

Abstract

BACKGROUND:

Little information is available on the long-term clinical outcome of cerebral vein thrombosis (CVT).

OBJECTIVES AND METHODS:

In an international, retrospective cohort study, we assessed the long-term rates of mortality, residual disability and recurrent venous thromboembolism (VTE) in a cohort of patients with a first CVT episode.

RESULTS:

Seven hundred and six patients (73.7% females) with CVT were included. Patients were followed for a total of 3171 patient-years. Median follow-up was 40 months (range 6, 297 months). At the end of follow-up, 20 patients had died (2.8%). The outcome was generally good: 89.1% of patients had a complete recovery (modified Rankin Score [mRS] 0-1) and 3.8% had a partial recovery and were independent (mRS 2). Eighty-four per cent of patients were treated with oral anticoagulants and the mean treatment duration was 12 months. CVT recurred in 31 patients (4.4%), and 46 patients (6.5%) had a VTE in a different site, for an overall incidence of recurrence of 23.6 events per 1000 patient-years (95% confidence Interval [CI] 17.8, 28.7) and of 35.1 events/1000 patient-years (95% CI, 27.7, 44.4) after anticoagulant therapy withdrawal. A previous VTE was the only significant predictor of recurrence at multivariate analysis (hazard ratio [HR] 2.70; 95% CI 1.25, 5.83).

CONCLUSIONS:

The long-term risk of mortality and recurrent VTE appears to be low in patients who survived the acute phase of CVT. A previous VTE history independently predicts recurrent events.

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