{"created":"2023-05-15T14:37:40.620333+00:00","id":48601,"links":{},"metadata":{"_buckets":{"deposit":"d2febeea-e8eb-4340-bb63-2d481c3bed58"},"_deposit":{"created_by":1,"id":"48601","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"48601"},"status":"published"},"_oai":{"id":"oai:repo.qst.go.jp:00048601","sets":["1"]},"author_link":["488707","488708","488705","488709","488704","488710","488706"],"item_8_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"61","bibliographicPageStart":"57","bibliographicVolumeNumber":"135","bibliographic_titles":[{"bibliographic_title":"Respiratory Medicine"}]}]},"item_8_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: The assessment of the clinical symptoms is the weakest link of the pulmonary\nembolism (PE) diagnostic algorithm. Despite the presence of highly sensitive and specific\nimaging methods, verifying PE remains difficult due to nonspecific clinical symptoms and\nfrequently its subclinical course.\nObjective: The aim of this study is to improve the recognition of PE by investigating the clinical\npresentation and short-term prognosis of unprovoked PE in comparison to provoked PE. The\nstudy was directed to patients who suffer from PE as a primary disease.\nMethods: This prospective observational study included 331 patients with PE, approved by\ncomputer tomographic pulmoangiography. They were categorized as having unprovoked or\nprovoked PE, according to their epidemiological data. The clinical characteristics and one-month\nmortality rate were compared between both groups.\nResults: About 67% of the patients had provoking factors and ~33% had unprovoked PE. The\npatients in the unprovoked PE-group were younger compared to provoked PE-group\n(56.67±17.95 vs 63.76±14.58, p<0.0001) and the males predominated vs females (62.04% vs\n37.96%, p=0.012). The patients with unprovoked PE had more previous thromboembolic events\ncompared to provoked PE-group (30.56% vs 19.45%, p=0.022) and a larger thrombotic burden\n(p=0.001). Dyspnea (85.18% vs 85.13%), chest pain (47.22% vs 46.85%), cough (43.92% vs\n45.94%), hemoptysis (16.67% vs 14.41%), hemodynamic instability (9.26% vs 8.56%), deep\nvenous thrombosis (49.51% vs 44.5%) had similar frequencies in both groups. No significant\ndifferences in the means of systolic pressure of arteria pulmonalis, D-dimer, arterial blood gases,\nRevised Geneva probability score were found. One-month mortality was lower in unprovoked\nPE-group than in provoked (1.85% vs 8.52%, p=0.042).\nConclusions: Unprovoked PE occurs at a younger age, more frequently in males. It is\ncharacterized by the following significant variables: higher Wells score, lower PESI score, lower\nCRP, higher thrombotic burden and lower one-month mortality rate, compared to provoked PE.","subitem_description_type":"Abstract"}]},"item_8_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1016/j.rmed.2018.01.001","subitem_relation_type_select":"DOI"}}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"metadata only access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_14cb"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Stoeva, Natalia"}],"nameIdentifiers":[{"nameIdentifier":"488704","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kirova, Galina"}],"nameIdentifiers":[{"nameIdentifier":"488705","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Staneva, Milena"}],"nameIdentifiers":[{"nameIdentifier":"488706","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Lekova, Diana"}],"nameIdentifiers":[{"nameIdentifier":"488707","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Penev, Anton"}],"nameIdentifiers":[{"nameIdentifier":"488708","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Bakalova, Rumiana"}],"nameIdentifiers":[{"nameIdentifier":"488709","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"バカロバ ルミアナ","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"488710","nameIdentifierScheme":"WEKO"}]}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Recognition of unprovoked (idiopathic) pulmonary embolism – prospective observational study.","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Recognition of unprovoked (idiopathic) pulmonary embolism – prospective observational study."}]},"item_type_id":"8","owner":"1","path":["1"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-03-20"},"publish_date":"2018-03-20","publish_status":"0","recid":"48601","relation_version_is_last":true,"title":["Recognition of unprovoked (idiopathic) pulmonary embolism – prospective observational study."],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-05-15T23:26:21.552443+00:00"}