Clinical Study fo Pulmonary Thromboembolism

Bak, Sang Myeon; Lee, Sang Hwa; Lee, Sin Hyung; Sin, Cheol; Cho, Jae Youn; Shim, Jae Jeong; In, Kwang Ho; Kang, Kyung Ho; Yoo, Se Hwa

doi:10.4046/trd.2001.50.1.106

Cited by 4 publications

(3 citation statements)

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“…Following the accumulation of evidence suggesting a reduced frequency of PTE after preventive measures, attempts to prevent PTE have increased [18]. PTE prophylaxis and treatment have received increasing attention in surgery [19].…”

Section: Discussionmentioning

confidence: 99%

Legal issues related to postoperative pulmonary thromboembolism in Korea

et al. 2016

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PurposeCurrently, development of pulmonary thromboembolism (PTE) after surgery is frequently being followed by legal action in Korea, as consequences may be fatal. In the current study, we assessed possible countermeasures that medical teams can take when faced with conflicting opinions on responsibility for PTE.MethodsA retrospective analysis of claims handled by the Supreme Court and subordinate courts, from 1999 to 2015, was performed. We analyzed the type of procedure, associated complications, and critical legal points from the recorded judgments along with any liability limitations on surgeons.ResultsAfter reviewing cases between 1999 and 2015, a total of 18 cases were analyzed. There were no cases in which the surgeon was held accountable between 1999 and 2002. From 2003, there were instances of the surgeon being held accountable, with a peak of cases in 2013. Legal standards applied in judicial decision-making related to appropriate use of preventive measures, operation characteristics, doctor's reaction towards symptom occurrence, obligation of postoperative medical care, and duty of explanation.ConclusionThe courts in Korea have changed their position from one of denying doctors' liability to one of enforcing responsibility for PTE. Surgeons are therefore being held responsible with greater frequency, depending on the details of the case. Lessons can be learnt from precedents that can be incorporated into medical education and training programs with the aim of reducing both major PTE complication rates and litigation costs.

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Section: Discussionmentioning

confidence: 99%

Legal issues related to postoperative pulmonary thromboembolism in Korea

et al. 2016

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“…[5,6] However, at present few data exist to support this assertion or the utility of the PESI for Korean patients with pulmonary embolism. For this reason, we analyzed the usefulness of the PESI as presented by Aujesky et al [3] with regard to predicting the prognosis of Korean patients with pulmonary embolism.…”

Section: Introductionmentioning

confidence: 99%

“…Ostensibly, Koreans may appear to have fewer risk factors for pulmonary embolism, such as obesity or deep vein thrombosis, compared to people in the West, and may thus be expected to suffer from pulmonary embolisms less often and have a better prognosis than Westerners. [ 5 , 6 ] However, at present few data exist to support this assertion or the utility of the PESI for Korean patients with pulmonary embolism. For this reason, we analyzed the usefulness of the PESI as presented by Aujesky et al [ 3 ] with regard to predicting the prognosis of Korean patients with pulmonary embolism.…”

Section: Introductionmentioning

confidence: 99%

The Pulmonary Embolism Severity Index in Predicting the Prognosis of Patients With Pulmonary Embolism

Choi

Kwon²,

Jwa³

et al. 2009

Korean J Intern Med

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Background/AimsMany prognostic models have been developed to help physicians make medical decisions on treating patients with pulmonary embolism. Among these models, the Pulmonary Embolism Severity Index (PESI) has been shown to be a successful risk stratification tool for patients with acute pulmonary embolism. The PESI, however, had not been applied to patients with pulmonary embolism in Korea.MethodsThe patients included in this study were diagnosed by computed tomography at Inje University's Ilsan Paik Hospital between December 1999 and March 2007. Risk stratification for the patients was performed using the PESI. The mortality rate was calculated according to each PESI risk class.ResultsOf the 90 patients enrolled in this study, ten were assigned to PESI class I, 29 to PESI class II, 22 to PESI class III, eight to PESI class IV, and ten to PESI class V. The mortality rate after 30 days in each class was 0, 10.3, 9.1, 0, and 50% (p=0.0016), respectively, whereas the respective hospital mortality rate was 4.8, 13.8, 13.6, 12.5, and 50% (p=0.0065). The overall mortality was 9.5, 27.6, 31.8, 50.0, and 60%, respectively (p=0.0019). The mortality rate was significantly associated with the PESI class.ConclusionsThe PESI class was found to be significantly correlated with the 30-day mortality rate, hospital mortality, and overall mortality. Our data indicate that the PESI can be used to predict the prognosis of patients with pulmonary embolism and in making medical decisions regarding the treatment of patients with pulmonary embolism.

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Clinical characteristics of acute pulmonary thromboembolism in Korea

Lee

Jeong

et al. 2006

International Journal of Cardiology

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Clinical Study fo Pulmonary Thromboembolism

Cited by 4 publications

References 0 publications

Legal issues related to postoperative pulmonary thromboembolism in Korea

Legal issues related to postoperative pulmonary thromboembolism in Korea

The Pulmonary Embolism Severity Index in Predicting the Prognosis of Patients With Pulmonary Embolism

Clinical characteristics of acute pulmonary thromboembolism in Korea

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