Postoperative pulmonary embolism: timing, diagnosis, treatment, and outcomes - 21/08/11
Corresponding author. Tel.: +1-704-355-3176; fax: +1-704-355-5619.Abstract |
Background |
Postoperative pulmonary embolism (PE) remains a major health concern. The purpose of our study was to evaluate our experience with postoperative PE.
Methods |
We retrospectively reviewed the medical records of patients who had a postoperative PE at our institution.
Results |
Our study included 115 patients. Prophylaxis was administered preoperatively in 31% of patients and postoperatively in 56% of patients. The diagnosis was obtained by computed tomography scan in 74 patients (64%), ventilation-perfusion scan in 24 patients (21%), angiogram in 8 patients (7%), and other modalities in 9 patients (8%). The time elapsed between surgery and the diagnosis of PE varied significantly by patient age (<40 y: 3 d, compared with 40–60 y: 11 d; P = .02). The majority of patients with PE were treated with anticoagulation (83%). Morbidity and mortality rates both were 9%.
Conclusions |
Age has a significant impact on the timing of postoperative PE, with the majority of cases being diagnosed with a computed tomography scan, and treated with anticoagulation.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Pulmonary embolism, Postoperative, Timing, Diagnosis, Treatment, Vena cava filter, IVC filter
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Vol 194 - N° 6
P. 814-819 - dicembre 2007 Ritorno al numero
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