Data/hora: 16/06/2024 03:40:19

Provedor de dados: | 56
País: | Brazil
Título: | Relationship between deep venous thrombosis and inflammatory cytokines in postoperative patients with malignant abdominal tumors
Autores: | Du,T.; Tan,Z.
Data: | 2014-11-01
Ano: | 2014
Palavras-chave: | Malignant tumor; Abdominal surgery; Deep venous thrombosis (DVT); Inflammatory cytokine; Correlation.
Resumo: | Deep venous thrombosis (DVT) is a common surgical complication in cancer patients and evidence that inflammation plays a role in the occurrence of DVT is increasing. We studied a population of cancer patients with abdominal malignancies with the aim of investigating whether the levels of circulating inflammatory cytokines were associated with postoperative DVT, and to determine the levels in DVT diagnoses. The serum levels of C-reactive protein (CRP), interleukins (IL)-6 and IL-10, nuclear transcription factor-κB (NF-κB) and E-selectin (E-Sel) were determined in 120 individuals, who were divided into 3 groups: healthy controls, patients with and patients without DVT after surgery for an abdominal malignancy. Data were analyzed by ANOVA, Dunnet's T3 test, chi-square test, and univariate and multivariate logistic regression as needed. The CRP, IL-6, NF-κB, and E-Sel levels in patients with DVT were significantly higher than those in the other groups (P&lt;0.05). The IL-10 level was higher in patients with DVT than in controls but lower than in patients without DVT. Univariate analysis revealed that CRP, IL-6, NF-κB, and E-Sel were statistically associated with the risk of DVT (OR=1.98, P=0.002; OR=1.17, P=0.000; OR=1.03, P=0.042; and OR=1.38, P=0.003; respectively), whereas IL-10 had a protective effect (OR=0.94, P=0.011). Multivariate analysis showed that E-Sel was an independent risk factor (OR=1.41, P=0.000). Thus, this study indicated that an increased serum level of E-Sel was associated with increased DVT risk in postoperative patients with abdominal malignancy, indicating that E-Sel may be a useful predictor of diagnosis of DVT.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2014001101003
Editor: | Associação Brasileira de Divulgação Científica
Relação: | 10.1590/1414-431X20143695
Formato: | text/html
Fonte: | Brazilian Journal of Medical and Biological Research  v.47 n.11 2014
Fonte: | info:eu-repo/semantics/openAccess