Case Fatality Rate with Pulmonary Embolectomy for Acute Pulmonary Embolism - 07/04/12
![](/templates/common/images/mail.png)
![](/templates/common/images/entites/204e.gif)
Abstract |
Background |
There are insufficient data to assess the potential role of pulmonary embolectomy in patients with acute pulmonary embolism.
Methods |
In-hospital all-cause case fatality rate with pulmonary embolectomy was assessed from the Nationwide Inpatient Sample from 1999 through 2008.
Results |
Among unstable patients (in shock or ventilator-dependent), case fatality rate with embolectomy was 380 of 950 (40%). Among stable patients, case fatality rate was lower: 690 of 2820 (24%) (P <.0001). Case fatality rate in unstable patients was 39% in 1999-2003 and 40% in 2004-2008 (not significant), and in stable patients it was 27% in 1999-2003 and 23% in 2004-2008 (P=.01). Case fatality rates were lower in patients with a primary diagnosis of pulmonary embolism and even lower in patients with a primary diagnosis who had none of the comorbid conditions listed in the Charlson Index. Within each stratified group, patients with vena cava filters had a lower case fatality rate.
Conclusions |
Case fatality rate in unstable patients who underwent pulmonary embolectomy remained at 39%-40% from 1999-2003 to 2004-2008, and in stable patients it decreased only from 27% to 23%. Case fatality rates were lower in those with fewer comorbid conditions and in those who received a vena cava filter. Our data reflect average outcome in the US. It may be that experienced surgeons and an aggressive multidisciplinary team could obtain a lower case fatality rate.
Le texte complet de cet article est disponible en PDF.Keywords : Pulmonary embolectomy, Pulmonary embolism, Venous thromboembolism
Plan
Funding: None. |
|
Conflicts of Interest: None. |
|
Authorship: Both authors had access to the data and played a role in writing this manuscript. |
Vol 125 - N° 5
P. 471-477 - mai 2012 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?