Clinical, Radiological, and Outcome Characteristics of Acute Pulmonary Embolism: A 5-year Experience from an Academic Tertiary Center

Ibrahim, Wanis H; Al-Shokri, Shaikha D.; Hussein, Musa S; Afifeh, Lana M Abu; Karuppasamy, Gowri; Parambil, Jessiya Veliyankodan; Elasad, Farras M; Faris, Mohammed Elamin; Abdelghani, Mohamed Salah; Abdellah, Ahmed; Kamel, Antoun; Ghazouani, Hafedh; Ahmad, Mushtaq; Aladab, Aisha; Danjuma, Mohammed; Raza, Tasleem

doi:10.5339/qmj.2022.1

Cited by 3 publications

(4 citation statements)

References 33 publications

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“…Studies on PE in general from Germany, Japan, Italy, and the USA reported mortality rates of 17 %, 14 %, 10 %, and 12 % respectively [34][35][36][37]. In a recent study on acute PE by the authors of this review, a low PE-related mortality rate of 3.4 % was reported [29]. Similar lower mortality rates have also been reported by other studies [25].…”

Section: Discussionsupporting

confidence: 78%

“…Furthermore, recent studies have also linked syncope with high short-term mortality in patients with PE [27]. Nevertheless, the current international guidelines pay little attention to establishing a diagnostic workup for PE in patients with syncope [29,30]. In agreement with previous findings from all PE types, syncope was the main presenting symptom in 6.…”

Section: Discussionsupporting

confidence: 58%

“…One of the well-recognized atypical manifestations of acute PE in the literature is syncope. Previous studies on all PE types estimated a prevalence of syncope that ranged from 1 to 20 % [27,28,29]. Furthermore, recent studies have also linked syncope with high short-term mortality in patients with PE [27].…”

Section: Discussionmentioning

confidence: 99%

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Optimal management, prevalence, and clinical behavior of saddle pulmonary embolism: A systematic review and meta-analysis

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Section: Discussionsupporting

confidence: 78%

Section: Discussionsupporting

confidence: 58%

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Optimal management, prevalence, and clinical behavior of saddle pulmonary embolism: A systematic review and meta-analysis

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“…Lastly, in comparison with trauma incidents, the most recent study on PE in Qatar among non-trauma population showed a crude incidence rate of 88 cases per 100000 per year and one-third of them occurred in-hospital, however the majority was reported in the surgical wards. 39 …”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics and Risk Factors for Early versus Late Pulmonary Embolism in Trauma Patients: A Retrospective, Observational Study

Siddiqui¹,

Asim²,

Ahmed³

et al. 2022

IJGM

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Background We sought to evaluate the clinical characteristics and risk factors for early versus late pulmonary embolism (PE) in trauma patients. Methods This was a retrospective analysis of injured patients who presented with a confirmed PE between 2013 and 2019. Data were analysed and compared for patients with early PE (≤4 days) versus late PE (>4 days post-trauma). Results The study included 82 consecutive trauma patients with confirmed diagnosis of PE. The mean age of patients was 42.3 ± 16.2 years. The majority were males (79.3%) and the median time from injury to PE was 10 days. Of the PE cases, 24 (29.3%) had early PE, while 58 (70.7%) had late PE. The early PE group had higher rates of surgical intervention within 24 hours of admission than the late PE group (p = 0.001). Also, the rate of sub-segmental thrombi was significantly higher in the early PE group (p = 0.01). The late PE group sustained more moderate-to-severe injuries ie, GCS ED <13 (p = 0.03) and the median time from injury to PE diagnosis was 15 days (p = 0.001). After adjusting for the potential covariates, surgery within 24 hours of admission [adjusted odds ratio 37.58 (95% confidence interval 3.393–416.20), p = 0.003] was found to be significant independent predictor of early PE in trauma patients. Conclusion One-third of post-trauma PEs occurs early after trauma and the surgical intervention within the first 24 hours of admission is a major risk factor. A prospective study is needed to develop an objective risk assessment for the prevention and detection of early and late PE post-trauma.

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The radiological diagnosis of pregnancy associated venous thromboembolism: a review of current research

Yang,

Wang

2024

Front. Med.

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One of the main causes of unfavorable pregnancy outcomes in expectant mothers is pregnancy-associated venous thromboembolism. Although pregnancy-related venous thromboembolism does not always manifest obvious clinical symptoms and lacks a comprehensive standard risk assessment and prediction system as well as simple and effective laboratory testing techniques, timely and accurate diagnosis can still help reduce the probability of adverse pregnancy outcomes. To aid in the early detection, diagnosis, and treatment of pregnancy- associated venous thromboembolism, we attempt to provide an overview of the radiological diagnostic techniques for various forms of the condition.

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Clinical, Radiological, and Outcome Characteristics of Acute Pulmonary Embolism: A 5-year Experience from an Academic Tertiary Center

Cited by 3 publications

References 33 publications

Optimal management, prevalence, and clinical behavior of saddle pulmonary embolism: A systematic review and meta-analysis

Optimal management, prevalence, and clinical behavior of saddle pulmonary embolism: A systematic review and meta-analysis

Clinical Characteristics and Risk Factors for Early versus Late Pulmonary Embolism in Trauma Patients: A Retrospective, Observational Study

The radiological diagnosis of pregnancy associated venous thromboembolism: a review of current research

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