A population-based study of inferior vena cava filters in patients with acute venous thromboembolism
Authors
Spencer, Frederick A.Bates, Shannon M.
Goldberg, Robert J.
Lessard, Darleen M.
Emery, Cathy
Glushchenko, Alla
Gore, Joel M.
White, Richard H.
UMass Chan Affiliations
Meyers Primary Care InstituteDepartment of Quantitative Health Sciences
Department of Medicine, Division of Cardiovascular Medicine
Document Type
Journal ArticlePublication Date
2010-09-15Keywords
Acute DiseaseAged
Chi-Square Distribution
Comorbidity
Female
Humans
Incidence
Male
Massachusetts
Middle Aged
Physician's Practice Patterns
Population Surveillance
Prevalence
Pulmonary Embolism
Retrospective Studies
Risk Factors
*Vena Cava Filters
Venous Thromboembolism
Biostatistics
Cardiovascular Diseases
Epidemiology
Health Services Research
Metadata
Show full item recordAbstract
BACKGROUND: Our study objective was to describe the frequency, indications, and outcomes after inferior vena cava (IVC) filter placement in a population-based sample of residents of the Worcester, Massachusetts, metropolitan area who had been diagnosed as having acute venous thromboembolism (VTE) in 1999, 2001, and 2003. METHODS: A retrospective chart review of inpatient and outpatient medical records was conducted. Recorded indication(s) for IVC filter placement was determined among a subset of cases from 3 Worcester tertiary care hospitals. Three thrombosis specialists assessed the appropriateness of IVC filter placement. RESULTS: Of 1547 greater Worcester residents with validated acute VTE and without a prior IVC filter, 203 (13.1%) had an IVC filter placed after acute VTE. Patients with an IVC filter were older, had more comorbidities, and had a higher mortality rate during 3 years of follow-up. There was unanimous agreement by panel members that the use of an IVC filter was appropriate in 51% of cases and inappropriate in 26% of cases, with no consensus in the remaining 23%. CONCLUSIONS: In this community-based study, IVC filters were frequently used in the treatment of patients with acute VTE. Placement was deemed to be appropriate in approximately 50% of the patients but was not appropriate or debatable in the remaining cases. Given the increasing use of IVC filters, prospective studies are clearly needed to better define the indications for, and efficacy of, IVC filter placement.Source
Arch Intern Med. 2010 Sep 13;170(16):1456-62. Link to article on publisher's siteDOI
10.1001/archinternmed.2010.272Permanent Link to this Item
http://hdl.handle.net/20.500.14038/47851PubMed ID
20837832Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1001/archinternmed.2010.272