Venous thromboembolism - a never ending story

Abstract

The marking richness of venous thromboembolism in the current medicine, within all the medical and surgical specialities, represents a first characteristic of this pathology, demonstrable through statistics, but unfortunately, discouraging regarding the survival of pulmonary embolism. The dimension of the theme incites to its research, through the amplitude of the issue, of the different pathology generically reunited under the recently adopted name of venous thromboembolism, both on the national and on the international plan, on the other part it discourages, because from many points of view there are no final solutions in the field of medical research regarding this disorder. At the world level, in each year this disease affects a number of over 5 million people. In Europe, the deaths caused by thromboembolic events are 10 times more than those through traffic accidents, and 100 time more than those through AIDS. According to the data, 30 % of the patients who had a thromboembolic accident will die in the first month after. In September 2008, European Heart Journal published Guidelines on the diagnosis and management of acute pulmonary embolism - The task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology, paper that demonstrates the researchers’ interest regarding the theme. Venous thromboembolism has been described as the most preventable disease in the hospital, in internal medice clinics, oncology clinics, also in general surgery, obstetrics and gynecology clinics and orthopaedic and traumatology clinics and also the most preventable disease. Thus, mortality could be reduced by prompt diagnosis, early prognostic and more intensive treatment in patients with adverse prognostic despite the currently available evidence. It is need a multidisciplinary diagnostic and treatment approach. We will present to you results of a multidisciplinary study focused on venous thromboembolism in patients admitted during 12 month, to the Emergency Room, to the 1st Medical Cardiology Clinic, to Oncology Clinic in “St Spiridon” Hospital Iasi, to the 1st Obstetrics and Gynecology Clinic “Cuza Voda” Hospital, Orthopaedic and Traumatology Clinicin “St loan” Hospital Iasi. The most important application of our study is to save the patient life, with our hope to improve the knowledges in this scientific field.