Pulmonary embolism diagnosed immediately following blunt trauma

Lewis, Catherine; Davis, Mustafa K.; Danner, Omar K.; Wilson, Kenneth L.; Matthews, L Ray

doi:10.5348/ijcri-2013-05-305-cr-2

Cited by 5 publications

(10 citation statements)

References 7 publications

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“…Several studies have suggested that immediate PE may be not be related to DVT and may exist as a separate entity that arises in the lungs de novo following traumatic injury. [9][10][11] In keeping with this theory, most immediate PEs in our study, as in other reports [17,18] were diagnosed within hours of injury, with minimal time for a DVT to form and generate emboli. Chest and limb injuries were more frequently associated with immediate PE than pelvic injuries, which does not fit with the classic reports of PE development following trauma but suggests an interesting hypothesis about the mechanism of formation of immediate PE: inflammation related to direct chest injury and autonomic dysfunction leading to vasospasm and thrombosis have been suggested as potential contributors to immediate PE pathophysiology following trauma, [18] a consequence of the amount of kinetic energy transmitted across the chest.…”

Section: Discussionsupporting

confidence: 90%

“…[7][8][9] Intriguingly, several studies have reported the presence of thrombus in the pulmonary circulation within the first few hours of traumatic injury, which has given rise to the concept of immediate PE (or de novo intrapulmonary thrombus) postulated to exist separately from classical PE. [10,11] The role for anticoagulation when PEs present in this way, particularly in the presence of co-existent traumatic haemorrhagic lesions, is unknown.…”

Section: Introductionmentioning

confidence: 99%

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Pulmonary embolism following complex trauma: UK MTC observational study

et al. 2019

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ObjectivesTo describe the incidence of pulmonary embolism (PE) in a critically ill UK major trauma centre (MTC) patient cohort.MethodsA retrospective, multidataset descriptive study of all trauma patients requiring admission to level 2 or 3 care in the East of England MTC from 1 November 2014 to 1 May 2017. Data describing demographics, the nature and extent of injuries, process of care, timing of PE prophylaxis, tranexamic acid (TXA) administration and CT scanner type were extracted from the Trauma Audit and Research Network database and hospital electronic records. PE presentation was categorised as immediate (diagnosed on initial trauma scan), early (within 72 hours of admission but not present initially) and late (diagnosed after 72 hours).ResultsOf the 2746 trauma patients, 1039 were identified as being admitted to level 2 or 3 care. Forty-eight patients (4.6%) were diagnosed with PE during admission with 14 immediate PEs (1.3%). Of 32.1% patients given TXA, 6.3% developed PE compared with 3.8% without TXA (p=0.08).ConclusionThis is the largest study of the incidence of PE in UK MTC patients and describes the greatest number of immediate PEs in a civilian complex trauma population to date. Immediate PEs are a rare phenomenon whose clinical importance remains unclear. Tranexamic acid was not significantly associated with an increase in PE in this population following its introduction into the UK trauma care system.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Pulmonary embolism following complex trauma: UK MTC observational study

et al. 2019

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“…Upon literature review, there is only one case reported the association between trauma and PE in 2013 a young female presented 1 h after a motor vehicle accident with chest pain and turned to be PE. However, she was using contraceptive pills 16 …”

Section: Discussionmentioning

confidence: 99%

Bilateral pulmonary emboli in an amateur kick boxer: A case report and literature review

Abdelmahmuod

Alzibdeh

Rahil

2021

Clinical Case Reports

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“…Similarly, Henry et al (37) worked on pelvic fracture in geriatric patients; his results showed that the incidence of proximal deep vein thrombosis with pelvic fractures was 25-35%.and the incidence of symptomatic pulmonary embolism was 2-10% deducing that thromboembolism was the most common complication following pelvic fractures. In the same context Lewis et al (38) explained that trauma can produce a hypercoagulable state immediately after a traumatic event resulting in a pulmonary embolism on his work on the same subject. On the contrary .…”

Section: Number Of Patientsmentioning

confidence: 97%

Incidence of Pulmonary Embolism in CCU at King Faisal Hospital, Taif, Saudi Arabia

Margoushy¹,

Al-Suwat

Alotaibi

et al. 2017

EJHM

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Background: Pulmonary embolism (PE) is a frequent cause of death and serious disability with a risk extending far beyond the acute phase of the disease. Despite advances in diagnosis and treatment, high mortality rates are still a common problem. Aim of the work: was to assess the incidence rate of pulmonary embolism among patients attending CCU of King Faisal hospital in Taif, Saudi Arabia and the most common risk factors of pulmonary embolism in these patients. Patients and methods: a cross sectional study for 6 month duration, in the period from June 2016 to December 2016. Patients were chosen from CCU of King Faisal hospital, Taif, Saudi Arabia. The study includes 20 patients diagnosed as pulmonary embolism from both sexes (male/female =10/10) with mean age 58.9±19.9 years old and 20 healthy control volunteers (male/female =14/6) with mean age 52.1±19.5 years old were chosen for comparison; incidence rate of pulmonary embolism was calculated and the related risk factors in these patients were evaluated via a questionnaire done to each patient and control. Results: 80% and 70% of patients and control lived in Taif, respectively. Incidence rate of pulmonary embolism was 5.5%. 25% of patients were smoker and 15% of control group were smoker. Conclusion: the presented study assessed the incidence of pulmonary embolism and its risk factors in King Faial hospital in Taif, Saudi Arabia. All risk factors of pulmonary embolism mentioned in international researches were emphasized in this research particularly travelling history, oral contraceptive therapy and cancer with respect to other risk factors.

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Pulmonary embolism diagnosed immediately following blunt trauma

Cited by 5 publications

References 7 publications

Pulmonary embolism following complex trauma: UK MTC observational study

Pulmonary embolism following complex trauma: UK MTC observational study

Bilateral pulmonary emboli in an amateur kick boxer: A case report and literature review

Incidence of Pulmonary Embolism in CCU at King Faisal Hospital, Taif, Saudi Arabia

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