ログイン
言語:

WEKO3

  • トップ
  • ランキング
To
lat lon distance
To

Field does not validate



インデックスリンク

インデックスツリー

メールアドレスを入力してください。

WEKO

One fine body…

WEKO

One fine body…

アイテム

  1. 原著論文

Recognition of unprovoked (idiopathic) pulmonary embolism – prospective observational study.

https://repo.qst.go.jp/records/48601
https://repo.qst.go.jp/records/48601
c4177708-5d2e-43db-845b-e84b72165856
Item type 学術雑誌論文 / Journal Article(1)
公開日 2018-03-20
タイトル
タイトル Recognition of unprovoked (idiopathic) pulmonary embolism – prospective observational study.
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Stoeva, Natalia

× Stoeva, Natalia

WEKO 488704

Stoeva, Natalia

Search repository
Kirova, Galina

× Kirova, Galina

WEKO 488705

Kirova, Galina

Search repository
Staneva, Milena

× Staneva, Milena

WEKO 488706

Staneva, Milena

Search repository
Lekova, Diana

× Lekova, Diana

WEKO 488707

Lekova, Diana

Search repository
Penev, Anton

× Penev, Anton

WEKO 488708

Penev, Anton

Search repository
Bakalova, Rumiana

× Bakalova, Rumiana

WEKO 488709

Bakalova, Rumiana

Search repository
バカロバ ルミアナ

× バカロバ ルミアナ

WEKO 488710

en バカロバ ルミアナ

Search repository
抄録
内容記述タイプ Abstract
内容記述 Background: The assessment of the clinical symptoms is the weakest link of the pulmonary
embolism (PE) diagnostic algorithm. Despite the presence of highly sensitive and specific
imaging methods, verifying PE remains difficult due to nonspecific clinical symptoms and
frequently its subclinical course.
Objective: The aim of this study is to improve the recognition of PE by investigating the clinical
presentation and short-term prognosis of unprovoked PE in comparison to provoked PE. The
study was directed to patients who suffer from PE as a primary disease.
Methods: This prospective observational study included 331 patients with PE, approved by
computer tomographic pulmoangiography. They were categorized as having unprovoked or
provoked PE, according to their epidemiological data. The clinical characteristics and one-month
mortality rate were compared between both groups.
Results: About 67% of the patients had provoking factors and ~33% had unprovoked PE. The
patients in the unprovoked PE-group were younger compared to provoked PE-group
(56.67±17.95 vs 63.76±14.58, p<0.0001) and the males predominated vs females (62.04% vs
37.96%, p=0.012). The patients with unprovoked PE had more previous thromboembolic events
compared to provoked PE-group (30.56% vs 19.45%, p=0.022) and a larger thrombotic burden
(p=0.001). Dyspnea (85.18% vs 85.13%), chest pain (47.22% vs 46.85%), cough (43.92% vs
45.94%), hemoptysis (16.67% vs 14.41%), hemodynamic instability (9.26% vs 8.56%), deep
venous thrombosis (49.51% vs 44.5%) had similar frequencies in both groups. No significant
differences in the means of systolic pressure of arteria pulmonalis, D-dimer, arterial blood gases,
Revised Geneva probability score were found. One-month mortality was lower in unprovoked
PE-group than in provoked (1.85% vs 8.52%, p=0.042).
Conclusions: Unprovoked PE occurs at a younger age, more frequently in males. It is
characterized by the following significant variables: higher Wells score, lower PESI score, lower
CRP, higher thrombotic burden and lower one-month mortality rate, compared to provoked PE.
書誌情報 Respiratory Medicine

巻 135, p. 57-61, 発行日 2018-01
DOI
識別子タイプ DOI
関連識別子 10.1016/j.rmed.2018.01.001
戻る
0
views
See details
Views

Versions

Ver.1 2023-05-15 23:26:21.662489
Show All versions

Share

Mendeley Twitter Facebook Print Addthis

Cite as

エクスポート

OAI-PMH
  • OAI-PMH JPCOAR 2.0
  • OAI-PMH JPCOAR 1.0
  • OAI-PMH DublinCore
  • OAI-PMH DDI
Other Formats
  • JSON
  • BIBTEX

Confirm


Powered by WEKO3


Powered by WEKO3