Increase in Maternal Death-Related Venous Thromboembolism During Pregnancy in Japan (2010–2013)

Background:The aim of the present work was to understand the current circumstances of maternal-death-related venous thromboembolism (MD-VTE) in Japan. We retrospectively investigated the characteristics of cases of MD-VTE, and compared past and present rates of occurrence.Methods and Results:We exam...

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Veröffentlicht in:Circulation Journal 2015/05/25, Vol.79(6), pp.1357-1362
Hauptverfasser: Tanaka, Hiroaki, Katsuragi, Shinji, Osato, Kazuhiro, Hasegawa, Junichi, Nakata, Masahiko, Murakoshi, Takeshi, Yoshimatsu, Jun, Sekizawa, Akihiko, Kanayama, Naohiro, Ishiwata, Isamu, Ikeda, Tomoaki
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container_issue 6
container_start_page 1357
container_title Circulation Journal
container_volume 79
creator Tanaka, Hiroaki
Katsuragi, Shinji
Osato, Kazuhiro
Hasegawa, Junichi
Nakata, Masahiko
Murakoshi, Takeshi
Yoshimatsu, Jun
Sekizawa, Akihiko
Kanayama, Naohiro
Ishiwata, Isamu
Ikeda, Tomoaki
description Background:The aim of the present work was to understand the current circumstances of maternal-death-related venous thromboembolism (MD-VTE) in Japan. We retrospectively investigated the characteristics of cases of MD-VTE, and compared past and present rates of occurrence.Methods and Results:We examined the Japanese data for MD-VTE in 2010–2013, and compared it with that from 1991–1992. MD-VTE occurred in 17 women in 1991–1992, and in 13 women in 2010–2013. The maternal mortality ratio of MD-VTE was 0.7 per 100,000 in 1991–1992 and 0.4 per 100,000 in 2010–2013. Both the maternal mortality ratio and rate of MD-VTE in 2010–2013 deceased significantly compared with 1991–1992 (P
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We retrospectively investigated the characteristics of cases of MD-VTE, and compared past and present rates of occurrence.Methods and Results:We examined the Japanese data for MD-VTE in 2010–2013, and compared it with that from 1991–1992. MD-VTE occurred in 17 women in 1991–1992, and in 13 women in 2010–2013. The maternal mortality ratio of MD-VTE was 0.7 per 100,000 in 1991–1992 and 0.4 per 100,000 in 2010–2013. Both the maternal mortality ratio and rate of MD-VTE in 2010–2013 deceased significantly compared with 1991–1992 (P&lt;0.05). However, the number of cases of MD-VTE during pregnancy was 6 among 13 women (41%) in 2010–2013, but 1 in 17 women (6%) in 1991–1992, showing an increase (P&lt;0.05). In the present study, cesarean delivery was more frequently associated with MD-VTE.Conclusions:MD-VTE overall has decreased within the past 20 years in Japan. But, MD-VTE during pregnancy in 2010–2013 increased relative to 1991–1992. Future guidelines for prevention of VTE may need to extend beyond the perioperative period to decrease the incidence of MD-VTE. (Circ J 2015; 79: 1357–1362)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-14-1228</identifier><identifier>PMID: 25766273</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Abortion, Induced ; Adult ; Bed Rest - adverse effects ; Cesarean Section ; Dehydration - complications ; Female ; Fibrinolytic Agents - therapeutic use ; Humans ; Japan - epidemiology ; Leiomyoma - epidemiology ; Maternal Age ; Maternal death ; Maternal Mortality - trends ; Postoperative Complications - mortality ; Pregnancy ; Pregnancy Complications, Cardiovascular - etiology ; Pregnancy Complications, Cardiovascular - mortality ; Pregnancy Complications, Neoplastic - epidemiology ; Puerperal Disorders - mortality ; Pulmonary embolism ; Pulmonary Embolism - mortality ; Retrospective Studies ; Stockings, Compression - utilization ; Uterine Neoplasms - epidemiology ; Venous thromboembolism ; Venous Thromboembolism - mortality</subject><ispartof>Circulation Journal, 2015/05/25, Vol.79(6), pp.1357-1362</ispartof><rights>2015 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c622t-4a7cb8002ae4fa1ccf852f1f2f7052f7f2b05667eb45c7ee8ff954bf6164e1b13</citedby><cites>FETCH-LOGICAL-c622t-4a7cb8002ae4fa1ccf852f1f2f7052f7f2b05667eb45c7ee8ff954bf6164e1b13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25766273$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanaka, Hiroaki</creatorcontrib><creatorcontrib>Katsuragi, Shinji</creatorcontrib><creatorcontrib>Osato, Kazuhiro</creatorcontrib><creatorcontrib>Hasegawa, Junichi</creatorcontrib><creatorcontrib>Nakata, Masahiko</creatorcontrib><creatorcontrib>Murakoshi, Takeshi</creatorcontrib><creatorcontrib>Yoshimatsu, Jun</creatorcontrib><creatorcontrib>Sekizawa, Akihiko</creatorcontrib><creatorcontrib>Kanayama, Naohiro</creatorcontrib><creatorcontrib>Ishiwata, Isamu</creatorcontrib><creatorcontrib>Ikeda, Tomoaki</creatorcontrib><title>Increase in Maternal Death-Related Venous Thromboembolism During Pregnancy in Japan (2010–2013)</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background:The aim of the present work was to understand the current circumstances of maternal-death-related venous thromboembolism (MD-VTE) in Japan. We retrospectively investigated the characteristics of cases of MD-VTE, and compared past and present rates of occurrence.Methods and Results:We examined the Japanese data for MD-VTE in 2010–2013, and compared it with that from 1991–1992. MD-VTE occurred in 17 women in 1991–1992, and in 13 women in 2010–2013. The maternal mortality ratio of MD-VTE was 0.7 per 100,000 in 1991–1992 and 0.4 per 100,000 in 2010–2013. Both the maternal mortality ratio and rate of MD-VTE in 2010–2013 deceased significantly compared with 1991–1992 (P&lt;0.05). However, the number of cases of MD-VTE during pregnancy was 6 among 13 women (41%) in 2010–2013, but 1 in 17 women (6%) in 1991–1992, showing an increase (P&lt;0.05). In the present study, cesarean delivery was more frequently associated with MD-VTE.Conclusions:MD-VTE overall has decreased within the past 20 years in Japan. But, MD-VTE during pregnancy in 2010–2013 increased relative to 1991–1992. Future guidelines for prevention of VTE may need to extend beyond the perioperative period to decrease the incidence of MD-VTE. (Circ J 2015; 79: 1357–1362)</description><subject>Abortion, Induced</subject><subject>Adult</subject><subject>Bed Rest - adverse effects</subject><subject>Cesarean Section</subject><subject>Dehydration - complications</subject><subject>Female</subject><subject>Fibrinolytic Agents - therapeutic use</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Leiomyoma - epidemiology</subject><subject>Maternal Age</subject><subject>Maternal death</subject><subject>Maternal Mortality - trends</subject><subject>Postoperative Complications - mortality</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Cardiovascular - etiology</subject><subject>Pregnancy Complications, Cardiovascular - mortality</subject><subject>Pregnancy Complications, Neoplastic - epidemiology</subject><subject>Puerperal Disorders - mortality</subject><subject>Pulmonary embolism</subject><subject>Pulmonary Embolism - mortality</subject><subject>Retrospective Studies</subject><subject>Stockings, Compression - utilization</subject><subject>Uterine Neoplasms - epidemiology</subject><subject>Venous thromboembolism</subject><subject>Venous Thromboembolism - mortality</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkLtOxDAQRS0E4t1ToZRQBPyKnZRoea5AIAS01sSMd7NKnMXOFnT8A3_Il5CwCxT2jEZnjkaXkANGTxjPxKmtgp2djMYpkynjPF8j20xIncqc0_WfXqVFLsUW2YlxRikvaFZski2eaaW4FtsEbrwNCBGTyid30GHwUCfnCN00fcS6H7wmL-jbRUyepqFtyhb7V1exSc4XofKT5CHgxIO374NhDHPwyRGnjH59fPZFHO-RDQd1xP1V3SXPlxdPo-v09v7qZnR2m1rFeZdK0LbM-xMBpQNmrcsz7pjjTtO-0Y6XNFNKYykzqxFz54pMlk4xJZGVTOySo6V3Htq3BcbONFW0WNfgsT_fMJULkWlBB5QuURvaGAM6Mw9VA-HdMGqGYM1PsGY0NkyaIdh-5XBlX5QNvv4t_CbZA5dLYBY7mOAfAKGrbI0roy6MGr5_8z8whWDQi2-z2o4m</recordid><startdate>2015</startdate><enddate>2015</enddate><creator>Tanaka, Hiroaki</creator><creator>Katsuragi, Shinji</creator><creator>Osato, Kazuhiro</creator><creator>Hasegawa, Junichi</creator><creator>Nakata, Masahiko</creator><creator>Murakoshi, Takeshi</creator><creator>Yoshimatsu, Jun</creator><creator>Sekizawa, Akihiko</creator><creator>Kanayama, Naohiro</creator><creator>Ishiwata, Isamu</creator><creator>Ikeda, Tomoaki</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2015</creationdate><title>Increase in Maternal Death-Related Venous Thromboembolism During Pregnancy in Japan (2010–2013)</title><author>Tanaka, Hiroaki ; Katsuragi, Shinji ; Osato, Kazuhiro ; Hasegawa, Junichi ; Nakata, Masahiko ; Murakoshi, Takeshi ; Yoshimatsu, Jun ; Sekizawa, Akihiko ; Kanayama, Naohiro ; Ishiwata, Isamu ; Ikeda, Tomoaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c622t-4a7cb8002ae4fa1ccf852f1f2f7052f7f2b05667eb45c7ee8ff954bf6164e1b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abortion, Induced</topic><topic>Adult</topic><topic>Bed Rest - adverse effects</topic><topic>Cesarean Section</topic><topic>Dehydration - complications</topic><topic>Female</topic><topic>Fibrinolytic Agents - therapeutic use</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>Leiomyoma - epidemiology</topic><topic>Maternal Age</topic><topic>Maternal death</topic><topic>Maternal Mortality - trends</topic><topic>Postoperative Complications - mortality</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Cardiovascular - etiology</topic><topic>Pregnancy Complications, Cardiovascular - mortality</topic><topic>Pregnancy Complications, Neoplastic - epidemiology</topic><topic>Puerperal Disorders - mortality</topic><topic>Pulmonary embolism</topic><topic>Pulmonary Embolism - mortality</topic><topic>Retrospective Studies</topic><topic>Stockings, Compression - utilization</topic><topic>Uterine Neoplasms - epidemiology</topic><topic>Venous thromboembolism</topic><topic>Venous Thromboembolism - mortality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanaka, Hiroaki</creatorcontrib><creatorcontrib>Katsuragi, Shinji</creatorcontrib><creatorcontrib>Osato, Kazuhiro</creatorcontrib><creatorcontrib>Hasegawa, Junichi</creatorcontrib><creatorcontrib>Nakata, Masahiko</creatorcontrib><creatorcontrib>Murakoshi, Takeshi</creatorcontrib><creatorcontrib>Yoshimatsu, Jun</creatorcontrib><creatorcontrib>Sekizawa, Akihiko</creatorcontrib><creatorcontrib>Kanayama, Naohiro</creatorcontrib><creatorcontrib>Ishiwata, Isamu</creatorcontrib><creatorcontrib>Ikeda, Tomoaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanaka, Hiroaki</au><au>Katsuragi, Shinji</au><au>Osato, Kazuhiro</au><au>Hasegawa, Junichi</au><au>Nakata, Masahiko</au><au>Murakoshi, Takeshi</au><au>Yoshimatsu, Jun</au><au>Sekizawa, Akihiko</au><au>Kanayama, Naohiro</au><au>Ishiwata, Isamu</au><au>Ikeda, Tomoaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increase in Maternal Death-Related Venous Thromboembolism During Pregnancy in Japan (2010–2013)</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2015</date><risdate>2015</risdate><volume>79</volume><issue>6</issue><spage>1357</spage><epage>1362</epage><pages>1357-1362</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background:The aim of the present work was to understand the current circumstances of maternal-death-related venous thromboembolism (MD-VTE) in Japan. We retrospectively investigated the characteristics of cases of MD-VTE, and compared past and present rates of occurrence.Methods and Results:We examined the Japanese data for MD-VTE in 2010–2013, and compared it with that from 1991–1992. MD-VTE occurred in 17 women in 1991–1992, and in 13 women in 2010–2013. The maternal mortality ratio of MD-VTE was 0.7 per 100,000 in 1991–1992 and 0.4 per 100,000 in 2010–2013. Both the maternal mortality ratio and rate of MD-VTE in 2010–2013 deceased significantly compared with 1991–1992 (P&lt;0.05). However, the number of cases of MD-VTE during pregnancy was 6 among 13 women (41%) in 2010–2013, but 1 in 17 women (6%) in 1991–1992, showing an increase (P&lt;0.05). In the present study, cesarean delivery was more frequently associated with MD-VTE.Conclusions:MD-VTE overall has decreased within the past 20 years in Japan. But, MD-VTE during pregnancy in 2010–2013 increased relative to 1991–1992. Future guidelines for prevention of VTE may need to extend beyond the perioperative period to decrease the incidence of MD-VTE. (Circ J 2015; 79: 1357–1362)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>25766273</pmid><doi>10.1253/circj.CJ-14-1228</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Abortion, Induced
Adult
Bed Rest - adverse effects
Cesarean Section
Dehydration - complications
Female
Fibrinolytic Agents - therapeutic use
Humans
Japan - epidemiology
Leiomyoma - epidemiology
Maternal Age
Maternal death
Maternal Mortality - trends
Postoperative Complications - mortality
Pregnancy
Pregnancy Complications, Cardiovascular - etiology
Pregnancy Complications, Cardiovascular - mortality
Pregnancy Complications, Neoplastic - epidemiology
Puerperal Disorders - mortality
Pulmonary embolism
Pulmonary Embolism - mortality
Retrospective Studies
Stockings, Compression - utilization
Uterine Neoplasms - epidemiology
Venous thromboembolism
Venous Thromboembolism - mortality
title Increase in Maternal Death-Related Venous Thromboembolism During Pregnancy in Japan (2010–2013)
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