Hypercoagulation After Hospital Discharge in Acute...

Hypercoagulation After Hospital Discharge in Acute Severe Ulcerative Colitis: A Prospective Study

Abstract

BACKGROUND & AIMS: Venous thromboembolism is a serious complication during and following hospitalization with acute severe ulcerative colitis (ASUC). We evaluated serial thrombotic profiles of patients with ASUC from the point of hospitalization up to 12 weeks postdischarge and compared these with control patients with quiescent ulcerative colitis. METHODS: Twenty-seven patients with ASUC and 25 control patients with quiescent ulcerative colitis were recruited. Thrombin generation (endogenous thrombin potential), rotational thromboelastometry (EXTEM and FIBTEM maximum clot firmness), procoagulant factors, anticoagulant factors, and fibrinolytic markers were assessed for those with ASUC on admission (Day 1), Day 5, 4 weeks, and at 8-12 weeks. These assessments were performed on a single occasion for control patients. RESULTS: Endogenous thrombin potential and maximum clot firmness were significantly elevated in patients with ASUC compared with control subjects and remained significantly elevated for 4 weeks and for 8-12 weeks after admission (P < .05), respectively. Von Willebrand factor antigen, factor VIII, Clauss fibrinogen concentration, and platelet count were significantly increased from presentation to 8-12 weeks and are likely to account for changes in the global hemostatic profile. CONCLUSIONS: Global measures of hemostasis demonstrated that patients with ASUC were prothrombotic compared with control subjects with quiescent colitis. This difference was maintained 8-12 weeks after the initial presentation, supporting clinical observations that patients with ASUC have an elevated risk of venous thromboembolism after hospital discharge.

Authors

Griffiths BJ; Desborough MJR; Duijvestein M; D'Haens GRA; Yuan Y; Bryant RV; Curry N; Travis SPL; Jairath V

Journal

Clinical Gastroenterology and Hepatology, Vol. 23, No. 10, pp. 1798–1807.e5

Publisher

Elsevier

Publication Date

September 1, 2025

DOI

10.1016/j.cgh.2024.10.031

ISSN

1542-3565

Associated Experts

Yuhong Yuan

Assistant Professor (Part-Time), FHSMED

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