{"id":146492,"date":"2023-01-11T01:55:36","date_gmt":"2023-01-11T01:55:36","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%ec%9e%85%ec%9b%90-%ed%99%98%ec%9e%90%ec%9d%98-%ed%98%88%ec%a0%84%ec%a6%9d-%ec%9c%84%ed%97%98%ea%b3%bc-%ed%95%ad%ec%9d%91%ea%b3%a0%ec%a0%9c-alex-c-spyropoulos-%ea%b5%90%ec%88%98%ec%9d%98-%ec%9d%b8\/"},"modified":"2026-02-18T12:13:12","modified_gmt":"2026-02-18T12:13:12","slug":"thrombosis-risk-and-anticoagulation-in-hospitalised-patients-insights-from-prof-alex-c-spyropoulos","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/ko\/disease-area\/covid-19\/thrombosis-risk-and-anticoagulation-in-hospitalised-patients-insights-from-prof-alex-c-spyropoulos\/","title":{"rendered":"\uc785\uc6d0 \ud658\uc790\uc758 \ud608\uc804\uc99d \uc704\ud5d8\uacfc \ud56d\uc751\uace0\uc81c: Alex C Spyropoulos \uad50\uc218\uc758 \uc778\uc0ac\uc774\ud2b8"},"content":{"rendered":"<p class=\"text-align-justify\">2022\ub144 3\uc6d4\uc5d0 \ub9c8\uc9c0\ub9c9\uc73c\ub85c \uac1c\ucd5c\ub41c Roche Diagnostics\uc758 \uc5f0\ub840 \uc751\uace0 \uad00\ub828 \uacfc\ud559 \ubc0f \uad50\uc721 \ud589\uc0ac\uc778<a href=\"https:\/\/diagnostics.roche.com\/global\/en\/events\/pro-coag.html\" target=\"_blank\" rel=\"noopener\"> pro-COAG<\/a>\uc5d0\uc11c Zucker School of Medicine at Hofstra\/Northwell \uc758\ud559\uacfc \uad50\uc218\uc774\uc790 \ub274\uc695\uc758 \ubcf5\ud569 \ubcd1\uc6d0 Northwell Health System\uc758 \ud56d\uc751\uace0 \ubc0f \uc784\uc0c1 \ud608\uc804\uc99d \uc11c\ube44\uc2a4 \ub514\ub809\ud130 Alex C Spyropoulos \uad50\uc218\uac00 \uc785\uc6d0 \ud658\uc790\uc758 \ud608\uc804\uc99d \uad00\ub9ac\uc5d0 \ub300\ud574 \uc5f0\uc124\ud588\uc2b5\ub2c8\ub2e4. \uadf8\uc758 \ubc1c\ud45c\ub294 \ud1f4\uc6d0 \ud6c4 \uae09\uc131 \uc758\ub8cc \ud658\uc790 \ubc0f \uc911\uc99d SARS-CoV-2(COVID-19) \ud658\uc790\uc758 \ud608\uc804 \uc608\ubc29\uc694\ubc95\uc5d0 \uc911\uc810\uc744 \ub450\uc5c8\uc2b5\ub2c8\ub2e4.<\/p>\n<p class=\"text-align-justify\">\ubbf8\uad6d\uacfc \uc720\ub7fd \uc804\uc5ed\uc5d0\uc11c \uc57d 2\ucc9c\ub9cc \uba85\uc758 \ud658\uc790\uac00 \uc815\ub9e5 \ud608\uc804 \uc0c9\uc804\uc99d(VTE)\uc758 \uc704\ud5d8\uc5d0 \ub178\ucd9c\ub418\uc5b4 \uc788\uc73c\uba70, \uc774\ub294 COVID-19\uc640 \uad00\ub828\ub41c \uc2ec\uac01\ud55c \uacfc\uc751\uace0 \uc0c1\ud0dc\ub85c \uc778\ud574 \ub354\uc6b1 \uc545\ud654\ub418\uace0 \uc788\uc2b5\ub2c8\ub2e4. COVID-19 \uc0ac\ub840\ub97c \uc81c\uc678\ud558\uba74 \uc99d\uc0c1\uc774 \uc788\ub294 VTE\uc758 50~70%\uc640 \uce58\uba85\uc801\uc778 \ud3d0 \uc0c9\uc804\uc99d(PE)\uc758 70~80%\ub294 70\uc138 \uc774\uc0c1\uc758 \uc5f0\ub839, \uc0c1\ub2f9\ud55c \uae30\uac04 \ub3d9\uc548\uc758 \uac70\ub3d9\uc774 \ubd88\uac00\ub2a5\ud55c \uc0c1\ud0dc(3\uc77c \uc774\uc0c1\uc73c\ub85c \uc815\uc758), \uc2ec\ud3d0 \uc608\ube44\ub825 \uc800\ud558 \ubc0f\/\ub610\ub294 \ud608\uc804 \uc704\ud5d8 \uc0c1\uc2b9\uacfc \uad00\ub828\ub41c \uc5ec\ub7ec \ub3d9\ubc18 \uc9c8\ud658\uc774 \uc788\ub294 \uae09\uc131 \uc9c8\ud658 \ud658\uc790\uad70\uc5d0\uc11c \ubc1c\uc0dd\ud569\ub2c8\ub2e4[1].<\/p>\n<p class=\"text-align-justify\">\uc784\uc0c1 \ud658\uacbd\uc5d0\uc11c \uc785\uc6d0 \ud658\uc790\uc758 \ud608\uc804 \uc608\ubc29\uc694\ubc95\uc740 \ucd9c\ud608 \uc704\ud5d8\uc744 \ud5c8\uc6a9\ud560 \uc218 \uc5c6\uc744 \uc815\ub3c4\ub85c \ub192\uc774\uc9c0 \uc54a\uace0\ub3c4 \ud608\uc804 \ud569\ubcd1\uc99d \ubc1c\uc0dd\ub960\uc744 \uac10\uc18c\uc2dc\ud0a4\uba70, \uc785\uc6d0 \uae30\uac04\uc774 \ub2e8\ucd95\ub428\uc5d0 \ub530\ub77c \uad00\ub9ac\uc758 \ubd80\ub2f4\uc774 \uc678\ub798 \ud658\uc790 \ud658\uacbd\uc73c\ub85c \uc62e\uaca8\uc84c\uc2b5\ub2c8\ub2e4. \ub610\ud55c VTE\uc758 80%\uac00 \ud1f4\uc6d0 \ud6c4 6\uc8fc \uc774\ub0b4\uc5d0 \ubc1c\uc0dd\ud558\uc9c0\ub9cc, \uc785\uc6d0 \ud658\uc790\uc758 4% \ubbf8\ub9cc\uc774 \ud1f4\uc6d0 \uc2dc \ud608\uc804 \uc608\ubc29\uc694\ubc95\uc744 \ubc1b\uc2b5\ub2c8\ub2e4.<\/p>\n<p class=\"text-align-justify\">\uc758\ub8cc\uc9c4\uacfc \uac00\uc774\ub4dc\ub77c\uc778\uc740 \uc774 \uc704\ud5d8\uc131\uc774 \ub192\uc740 \uc2dc\uae30\ub97c \uc778\uc2dd\ud558\uace0 \uc788\uc5b4\uc57c \ud569\ub2c8\ub2e4. \uc678\ub798 \ud658\uc790\uc758 \uc9c1\uc811 \uacbd\uad6c\uc6a9 \ud56d\uc751\uace0\uc81c(DOAC; \ub9ac\ubc14\ub85d\uc0ac\ubc18 \ubc0f \ubca0\ub9ad\uc0ac\ubc18) \uc608\ubc29\uc5d0 \ub300\ud55c \uc784\uc0c1\uc2dc\ud5d8\uc740 VTE \uc704\ud5d8\uc774 \ub192\uace0 \ucd9c\ud608 \uc704\ud5d8\uc774 \ub0ae\uc740 \uc9d1\ub2e8\uc744 \ub300\uc0c1\uc73c\ub85c \ud558\uace0 \uc784\uc0c1\uc801 \uc758\uc0ac \uacb0\uc815 \uc9c0\uc6d0 \ubc0f\/\ub610\ub294 \uc804\uc790 \uac74\uac15 \uae30\ub85d \uc0c1\ud638\uc6b4\uc6a9\uc131\uc744 \ud1b5\ud574 \uc704\ud5d8\uc5d0 \ub530\ub978 \uac1c\ubcc4\ud654\ub41c \uc811\uadfc \ubc29\uc2dd\uc744 \uc801\uc6a9\ud558\ub294 \uac83\uc774 \uc911\uc694\ud558\ub2e4\ub294 \uc810\uc744 \uac15\uc870\ud588\uc2b5\ub2c8\ub2e4[2,3].\u00a0\uc785\uc6d0 \ubc0f \ud1f4\uc6d0 \uc2dc Padua \ubc0f IMPROVE+D-Dimer\uc640 \uac19\uc740 \uac80\uc99d\ub41c VTE \uc704\ud5d8 \ubaa8\ub378\/\ub3c4\uad6c\ub97c \uc801\uc6a9\ud558\uba74 \uc758\uc0ac \uacb0\uc815\uc5d0 \ub3c4\uc6c0\uc774 \ub418\uc9c0\ub9cc, \uac00\uc774\ub4dc\ub77c\uc778\uc740 \uc5ec\uc804\ud788 \uc5c7\uac08\ub9ac\uace0 \uc788\uc2b5\ub2c8\ub2e4[4,5].<\/p>\n<p class=\"text-align-justify\">SARS-CoV-2\ub294 \uad00\ub828\uc131\uc774 \uc788\uc9c0\ub9cc \ub69c\ub837\ud55c \uacfc\uc81c\ub97c \uc81c\uc2dc\ud569\ub2c8\ub2e4. \uac10\uc5fc\uc744 \ub9e4\uac1c\ub85c \ud55c \ud608\uad00 \uae30\ub2a5 \uc7a5\uc560\uc640 \uc5fc\uc99d\uc131 \uc0ac\uc774\ud1a0\uce74\uc778\/\uc751\uace0 \ub9e4\uac1c\ubcc0\uc218 \uc0c1\uc2b9\uc758 \uc870\ud569\uc740 \ube44\uc815\ud615 \uacfc\uc751\uace0 \uc0c1\ud0dc\ub97c \uc720\ub3c4\ud569\ub2c8\ub2e4. \uc774 \uc0c1\ud0dc\uc758 \ud45c\uc9c0\uc790\uc5d0\ub294 3~5\ubc30 \ub192\uc740 VTE \ube44\uc728, \uc815\uc0c1 \uc0c1\ud55c\uce58\ubcf4\ub2e4 4~6\ubc30 \uc774\uc0c1 \uc0c1\uc2b9\ud55c D-\uc774\ub7c9\uccb4(\uc0ac\ub9dd\ub960 2~5\ubc30 \uc99d\uac00\uc640 \uad00\ub828\ub428), \ube44\uc815\uc0c1\uc801\uc778 \uc751\uace0 \uc720\ud615 \ubc0f \ud56d\uc751\uace0 \uce58\ub8cc\uc5d0\ub3c4 \ubd88\uad6c\ud558\uace0 \ud608\uc804\uc774 \ubc1c\uc0dd\ud558\ub294 \ud604\uc0c1 \ub4f1\uc774 \uc788\uc2b5\ub2c8\ub2e4[6].<\/p>\n<p class=\"text-align-justify\">\ub530\ub77c\uc11c DOAC \ubc0f \uc800\ubd84\uc790\ub7c9 \ud5e4\ud30c\ub9b0(LMWH) \ud608\uc804 \uc608\ubc29\uc694\ubc95\uc758 \uc2dc\uae30\uc640 \uc6a9\ub7c9\uc740 \ub9e4\uc6b0 \uc911\uc694\ud569\ub2c8\ub2e4. \ucd9c\ud608 \uc704\ud5d8\uc774 \ud5c8\uc6a9\ud560 \uc218 \uc5c6\uc744 \uc815\ub3c4\ub85c \ub192\uc9c0 \uc54a\uc740 \ubaa8\ub4e0 COVID-19 \uc785\uc6d0 \ud658\uc790\ub294 \uc608\ubc29\uc801(\uc800\uc6a9\ub7c9) LMWH\ub85c \ubcf4\ud3b8\uc801\uc778 \ud608\uc804 \uc608\ubc29\uc694\ubc95\uc744 \ubc1b\uc544\uc57c \ud558\uc9c0\ub9cc, D-\uc774\ub7c9\uccb4\uac00 \uc815\uc0c1 \uc0c1\ud55c\uce58\uc758 2\ubc30 \uc774\uc0c1 \ub192\uac70\ub098 \uc0b0\uc18c\uac00 \ud544\uc694\ud55c \ucd08\uace0\uc704\ud5d8\uad70\uc740 \ud608\uc804 \uc608\ubc29\uc694\ubc95\uc73c\ub85c \uce58\ub8cc \uc6a9\ub7c9 LMWH\ub97c \uc0ac\uc6a9\ud558\ub294 \uac83\uc774 \ub3c4\uc6c0\uc774 \ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n<p class=\"text-align-justify\">\ub610\ud55c, IMPROVE VTE \uc810\uc218\uac00 4\uc810 \uc774\uc0c1\uc774\uac70\ub098 \ud604\uc9c0 \uc2e4\ud5d8\uc2e4 \uc815\uc0c1 \uc0c1\ud55c\uce58\uc758 2\ubc30 \uc774\uc0c1 \uc0c1\uc2b9\ud55c D-\uc774\ub7c9\uccb4\uac00 2~3\uc810\uc778 \ud658\uc790\ub294 \ucd9c\ud608 \uc704\ud5d8\uc774 \ub0ae\ub2e4\uba74 \ud1f4\uc6d0 \ud6c4 \ub9ac\ubc14\ub85d\uc0ac\ubc18 10mg\uc73c\ub85c 35\uc77c \ub3d9\uc548 \ud608\uc804 \uc608\ubc29\uc744 \uc5f0\uc7a5\ud558\ub294 \uac83\uc774 \uc88b\uc2b5\ub2c8\ub2e4. \uac1c\uc815\ub41c COVID-19 \uac00\uc774\ub4dc\ub77c\uc778\uc5d0\ub294 \uc774\ub7ec\ud55c \ubc1c\uc804\uc774 \ubc18\uc601\ub420 \uc608\uc815\uc785\ub2c8\ub2e4.<\/p>\n<p class=\"text-align-justify\"><em>Alex C Spyropoulos \uad50\uc218\ub294 Zucker School of Medicine \uc758\ud559\uacfc \uad50\uc218, \ub274\uc695 Northwell Health System \ud56d\uc751\uace0 \ubc0f \uc784\uc0c1 \ud608\uc804\uc99d \uc11c\ube44\uc2a4 \ub514\ub809\ud130, Feinstein Institute for Medical Research Center for Health Innovations and Outcomes \uad50\uc218, Northwell Health System Council on Leadership of Thrombosis \uacf5\ub3d9 \uc758\uc7a5, Thrombosis and Haemostasis \uc139\uc158 \uc5d0\ub514\ud130, Hospital Medicine \ud3b8\uc9d1\uc704\uc6d0\uc73c\ub85c \uc7ac\uc9c1 \uc911\uc785\ub2c8\ub2e4.<\/em><\/p>\n<p class=\"text-align-justify\"><em>\ucc38\uace0 \ubb38\ud5cc:\u00a0<\/em><\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/journal.chestnet.org\/article\/S0012-3692(11)60016-0\/fulltext\" target=\"_blank\" rel=\"noopener\">[1]<\/a> Decousus, H, et al. Chest, 2011. 139(1):69\u201379.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7069762\/\" target=\"_blank\" rel=\"noopener\">[2]<\/a> Spyropoulos, AC, et al. TH Open, 2020. 04(01):e59\u2013e65.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jth.12515\" target=\"_blank\" rel=\"noopener\">[3]<\/a> Cohen, AT, et al., J Thromb Haemost, 2014. 12(4):479\u2013487.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33733028\/\" target=\"_blank\" rel=\"noopener\">[4]<\/a> Spyropoulos, AC, et al. Res Pract Thromb Haemost, 2021. 5(2):296\u2013300.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27307054\/\" target=\"_blank\" rel=\"noopener\">[5]<\/a> Rosenberg, DJ, et al. Thromb Haemost, 2016. 116(09):530\u2013536.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34146235\/\" target=\"_blank\" rel=\"noopener\">[6]<\/a> Goldin, M, et al. J Thromb Thrombolysis, 2021. 52(4):1032\u20131035.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2022\ub144 3\uc6d4\uc5d0 \ub9c8\uc9c0\ub9c9\uc73c\ub85c \uac1c\ucd5c\ub41c Roche Diagnostics\uc758 \uc5f0\ub840 \uc751\uace0 \uad00\ub828 \uacfc\ud559 \ubc0f \uad50\uc721 \ud589\uc0ac\uc778 pro-COAG\uc5d0\uc11c Zucker School of Medicine at Hofstra\/Northwell \uc758\ud559\uacfc \uad50\uc218\uc774\uc790 \ub274\uc695\uc758 \ubcf5\ud569 \ubcd1\uc6d0 Northwell Health System\uc758 \ud56d\uc751\uace0 \ubc0f \uc784\uc0c1 \ud608\uc804\uc99d \uc11c\ube44\uc2a4 \ub514\ub809\ud130 Alex C Spyropoulos \uad50\uc218\uac00 \uc785\uc6d0 \ud658\uc790\uc758 \ud608\uc804\uc99d \uad00\ub9ac\uc5d0 \ub300\ud574 \uc5f0\uc124\ud588\uc2b5\ub2c8\ub2e4. \uadf8\uc758 \ubc1c\ud45c\ub294 \ud1f4\uc6d0 \ud6c4 \uae09\uc131 \uc758\ub8cc \ud658\uc790 \ubc0f \uc911\uc99d SARS-CoV-2(COVID-19) \ud658\uc790\uc758 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":85643,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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