Risk factors for thrombosis in tuberculosis patients admitted to a tuberculosis-dedicated intensive care unit: a retrospective cohort study - Scorecard - MDSpire

Risk factors for thrombosis in tuberculosis patients admitted to a tuberculosis-dedicated intensive care unit: a retrospective cohort study

  • By

  • Aifeng Liu

  • Yuewen Qiu

  • Hongmei Chen

  • Xiaohua Ma

  • June 30, 2026

  • 0 min

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Clinical Scorecard: Identifying Thrombosis Risk Factors in Tuberculosis Patients in an Intensive Care Setting: A Retrospective Cohort Analysis

At a Glance

CategoryDetail
ConditionThrombosis in Tuberculosis Patients
Key MechanismsAdvanced age, prolonged APTT, and co-infection status contribute to thrombus formation.
Target PopulationPatients with tuberculosis admitted to the ICU
Care SettingIntensive Care Unit

Key Highlights

  • Advanced age and prolonged APTT are independent predictors of thrombus formation.
  • Fungal co-infection increases thrombotic risk, while non-TB bacterial co-infection may have a protective effect.
  • CRP is a reliable surrogate marker for IL-6-driven inflammation in this population.
  • The base predictive model achieved an AUC of 0.753.
  • Incorporation of CRP, DDR, or IL-6 did not significantly improve predictive performance.

Guideline-Based Recommendations

Diagnosis

  • Confirm pulmonary tuberculosis based on clinical signs, imaging features, and positive laboratory tests.

Management

  • Monitor thrombotic risk factors such as age, APTT, and co-infection status in ICU patients.

Monitoring & Follow-up

  • Regularly assess inflammatory biomarkers like CRP and IL-6 in critically ill tuberculosis patients.

Risks

  • Thrombotic events can prolong hospital stays and elevate mortality risk.

Patient & Prescribing Data

Patients aged 18 years or older with confirmed pulmonary tuberculosis.

Consider the impact of co-infections on thrombotic risk when managing tuberculosis patients.

Clinical Best Practices

  • Utilize a predictive model incorporating age, APTT, and co-infection status for thrombus risk assessment.
  • Evaluate the necessity of prophylactic strategies for thrombosis in high-risk tuberculosis patients.

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