Evaluation of the Role of Respiratory Tract Viruses in Patients with Thromboembolic Events

Project no. 32663 · Status: Kapanmış (Yayın bekleniyor) · 2025

Summary

<p>Thromboembolic&nbsp;events&nbsp;are&nbsp;a&nbsp;significant&nbsp;cause&nbsp;of&nbsp;mortality&nbsp;and&nbsp;morbidity&nbsp;in&nbsp;adult&nbsp;patients.&nbsp;It&nbsp;has&nbsp;long&nbsp;been&nbsp;known&nbsp;that&nbsp;viral&nbsp;upper&nbsp;and&nbsp;lower&nbsp;respiratory&nbsp;tract&nbsp;infections&nbsp;predispose&nbsp;to&nbsp;thromboembolic&nbsp;events,&nbsp;a&nbsp;topic&nbsp;that&nbsp;has&nbsp;come&nbsp;to&nbsp;the&nbsp;forefront,&nbsp;especially&nbsp;during&nbsp;the&nbsp;COVID-19&nbsp;pandemic.&nbsp;Even&nbsp;in&nbsp;patients&nbsp;receiving&nbsp;prophylactic&nbsp;anticoagulants&nbsp;during&nbsp;the&nbsp;COVID-19&nbsp;pandemic,&nbsp;a&nbsp;significantly&nbsp;increased&nbsp;risk&nbsp;of&nbsp;pulmonary&nbsp;thromboembolism&nbsp;was&nbsp;observed.&nbsp;This&nbsp;has&nbsp;been&nbsp;associated&nbsp;with&nbsp;increased&nbsp;hypercoagulant&nbsp;activity&nbsp;and&nbsp;endothelial&nbsp;damage&nbsp;responsible&nbsp;for&nbsp;microvascular&nbsp;thrombosis.&nbsp;(1)&nbsp;The&nbsp;aim&nbsp;of&nbsp;this&nbsp;study&nbsp;is&nbsp;to&nbsp;prospectively&nbsp;evaluate&nbsp;the&nbsp;frequency&nbsp;of&nbsp;concomitant&nbsp;respiratory&nbsp;tract&nbsp;infections&nbsp;in&nbsp;patients&nbsp;followed&nbsp;up&nbsp;in&nbsp;the&nbsp;Pulmonology&nbsp;and&nbsp;Neurology&nbsp;clinics&nbsp;of&nbsp;our&nbsp;hospital&nbsp;due&nbsp;to&nbsp;pulmonary&nbsp;thromboembolism&nbsp;or&nbsp;ischemic&nbsp;cerebrovascular&nbsp;events,&nbsp;and&nbsp;to&nbsp;investigate&nbsp;other&nbsp;risk&nbsp;factors&nbsp;through&nbsp;subgroup&nbsp;analysis.&nbsp;There&nbsp;are&nbsp;a&nbsp;limited&nbsp;number&nbsp;of&nbsp;studies&nbsp;in&nbsp;the&nbsp;literature&nbsp;on&nbsp;this&nbsp;topic,&nbsp;particularly&nbsp;in&nbsp;patients&nbsp;with&nbsp;ischemic&nbsp;cerebrovascular&nbsp;events.&nbsp;It&nbsp;was&nbsp;planned&nbsp;to&nbsp;include&nbsp;100&nbsp;patients&nbsp;in&nbsp;the&nbsp;study&nbsp;and&nbsp;to&nbsp;have&nbsp;a&nbsp;study&nbsp;duration&nbsp;of&nbsp;12&nbsp;months.&nbsp;Nasopharyngeal&nbsp;swab&nbsp;samples&nbsp;will&nbsp;be&nbsp;collected&nbsp;from&nbsp;patients&nbsp;for&nbsp;respiratory&nbsp;tract&nbsp;multiplex&nbsp;PCR&nbsp;analysis&nbsp;and&nbsp;processed&nbsp;in&nbsp;the&nbsp;microbiology&nbsp;laboratory.&nbsp;The&nbsp;data&nbsp;obtained&nbsp;at&nbsp;the&nbsp;end&nbsp;of&nbsp;the&nbsp;study&nbsp;will&nbsp;be&nbsp;entered&nbsp;into&nbsp;the&nbsp;SPSS&nbsp;program&nbsp;and&nbsp;statistically&nbsp;analyzed.</p><p></p><p>1-&nbsp;Poor,&nbsp;Hooman&nbsp;D.&nbsp;"Pulmonary&nbsp;thrombosis&nbsp;and&nbsp;thromboembolism&nbsp;in&nbsp;COVID-19."&nbsp;<em>Chest</em>&nbsp;160.4&nbsp;(2021):&nbsp;1471-1480.</p>

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