Back to Search
Start Over
Prediction of early mortality in patients with cancer-associated thrombosis in the rIete Database
- Source :
- INT ANGIOL, r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante, instname
- Publication Year :
- 2019
-
Abstract
- BACKGROUND: Proper risk stratification of patients for early mortality after cancer-associated thrombosis may lead to personalized anticoagulation protocols. Therefore, we aimed to derive and validate a scoring system to predict early mortality in this population. To this end, we selected patients with active cancer and thrombosis from the Computerized Registry of Patients with Venous Thromboembolism database. METHODS: The main outcome was all cause mortality within the month following a thrombotic event. We used a simple random selection to split are data in a derivation and a validation cohort. In the derivation cohort, we used recursive partitioning and binary logistic regression to identify groups at risk and to determine the likelihood of the primary outcome. The risk score was developed based on odds ratios from the final multivariate model, and then tested in the validation cohort. RESULTS: In 10,025 eligible patients, we identified 6 predictors of 30-day mortality: leukocytosis =11.5x109/L; platelet count =160x109/L, metastasis, recent immobility, initial presentation as pulmonary embolism and Body Mass Index
- Subjects :
- Adult
Male
Internationality
Adolescent
Population
030204 cardiovascular system & hematology
030230 surgery
computer.software_genre
Logistic regression
Risk Assessment
Cohort Studies
Young Adult
03 medical and health sciences
Mortality
Neoplasms
Premature
Thrombosis
0302 clinical medicine
Predictive Value of Tests
Risk Factors
Humans
Medicine
Registries
Child
education
Aged
education.field_of_study
Framingham Risk Score
Database
business.industry
Infant, Newborn
Infant
Venous Thromboembolism
Odds ratio
Middle Aged
medicine.disease
Pulmonary embolism
Logistic Models
Child, Preschool
Predictive value of tests
Multivariate Analysis
Female
Cardiology and Cardiovascular Medicine
Risk assessment
business
computer
Cohort study
Subjects
Details
- Language :
- English
- ISSN :
- 03929590
- Database :
- OpenAIRE
- Journal :
- INT ANGIOL, r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante, instname
- Accession number :
- edsair.doi.dedup.....3577f46083c307040836317236f90759