Evidence map›Paper›PMID 40175131›Full record

ArticleJournal of atherosclerosis and thrombosis2025

Sex Differences Regarding the Risk of Incident Venous Thromboembolism in Hospitalized Patients with an Acute Exacerbation of Chronic Obstructive Pulmonary Disease.

Jiaqi Pu, Qun Yi, Yuanming Luo, Hailong Wei, Huiqing Ge, Huiguo Liu, Jianchu Zhang, Xianhua Li, Pinhua Pan, XiuFang Xie and 9 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Jiaqi PuDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University.
Qun YiDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University.
Yuanming LuoState Key Laboratory of Respiratory Disease, Guangzhou Medical University.
Hailong WeiDepartment of Respiratory and Critical Care Medicine, People's Hospital of Leshan.
Huiqing GeDepartment of Respiratory and Critical Care Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine.
Huiguo LiuDepartment of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology.
Jianchu ZhangDepartment of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology.
Xianhua LiDepartment of Respiratory and Critical Care Medicine, the First People's Hospital of Neijiang City.
Pinhua PanDepartment of Respiratory and Critical Care Medicine, Xiangya Hospital, Central South University.
XiuFang XieDepartment of Respiratory and Critical Care Medicine, the First People's Hospital of Neijiang City.
Mengqiu YiDepartment of Emergency, First People's Hospital of Jiujiang.
Lina ChengDepartment of Emergency, First People's Hospital of Jiujiang.
Hui ZhouDepartment of Respiratory and Critical Care Medicine, The Affiliated Hospital of Chengdu University.
Jiarui ZhangDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University.
Lige PengDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University.
Jiaxin ZengDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University.
Xueqing ChenDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University.
Haixia ZhouDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University.
MAGNET AECOPD Registry Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsSex differences in the risk of venous thromboembolism (VTE) among patients with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) have so far only been sparsely described. This study aimed to investigate the differences in the risk of VTE events between male and female AECOPD patients and to determine whether any specific risk factors for VTE vary between the sexes.

methodsWe prospectively enrolled patients hospitalized for AECOPD from ten medical centers in China. The primary outcome was the occurrence of VTE. Univariate and multivariate logistic regression analyses were conducted to determine whether sex was an independent risk factor for VTE and also to identify any sex-specific risk factors.

resultsIn total, 13,664 patients were included. VTE occurred in 5.5% of females and 3.3% of males (P<0.001). A multivariate logistic regression analysis identified female sex as an independent risk factor for VTE in patients with AECOPD (odds ratio [OR] = 1.439, 95% confidence interval [CI] = 1.177-1.759, P<0.001) after adjusting for confounding factors. Common risk factors for both sexes included age, chronic heart failure, severe lung disease, stroke, a recent surgical history, a history of VTE, and respiratory failure. Additional risk factors unique to males were sepsis (OR = 9.514, 95% CI = 4.513-20.056, P<0.001), varicose veins (OR = 6.170, 95% CI = 3.237-11.763, P<0.001), and rheumatological disorders (OR = 2.677, 95% CI = 1.184-6.052, P = 0.018). No sex-specific risk factors were identified for females.

conclusionFemale sex was found to be an independent risk factor for VTE and some sex-specific risk factors exist among inpatients with AECOPD. These findings highlight the importance of considering sex and sex-related factors when assessing the VTE risk in AECOPD patients.

Indexed as

HospitalizationPulmonary Disease, Chronic ObstructiveVenous ThromboembolismAgedChinaDisease ProgressionFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedPrognosisProspective StudiesRisk FactorsSex FactorsAcute exacerbation of chronic obstructive pulmonary diseaseRisk factorsSex differencesVenous thromboembolism

Identifiers

PMID40175131
PMCPMC12504028

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.