Maladie thromboembolique veineuse dans la région de Sidi Bel Abbes, Algérie : fréquence et facteurs de risque

Abstract

INTRODUCTION: Venous thromboembolism (VTE) including deep venous thrombosis (DVT) and pulmonary embolism (PE) is a common disease associated with substantial morbidity and mortality. VTE is becoming increasingly common in Algeria but published data on its frequency and risk factors are lacking. The purpose of our study was to determine the frequency, risk factors of this disease in Sidi Bel Abbes region, Northwest Algeria. METHODS: A retrospective study of patients hospitalized for DVT and/ or PE was carried out between January 1, 2006 and June 10, 2012 at the cardiology department of Sidi Bel Abbes University Hospital Center. RESULTS: 183 VTE patients (71 men [38.7%, age 51.5 - 17.7 years] and 112 women [61.2%, age 46.4-17.9 years]) were included. Deep venous thrombosis (DVT) occurred in 146 (79.7%), pulmonary embolism (PE) in 37 (20.2%) including 16 with concurrent DVT. The most common risk factors among DVT patients were: immobility, hypertension, surgery and oral contraception whereas, immobility, surgery, hypertension and fractures were the most frequent risk factors among PE patients. 12.02% of patients had a previous VTE. 24.7% of patients had several risk factors. Lower extremity DVT accounted for 97.5% of cases and upper extremity DVT for only 2.5%. CONCLUSION: In conclusion, venous thromboembolism is less common in Sidi Bel Abbes. However, adoption of an appropriate prophylactic strategy is required against the propagation of this disease.

Keywords

• maladie thromboembolique veineuse
• facteurs de risque
• fréquence
• sidi bel abbes