Journal of Isfahan Medical School

Journal of Isfahan Medical School

Assessment of the Relative Frequency of Pulmonary Embolism and Common Risk Factors in Patients with Pulmonary Embolism (PE) Referring to Emergency Department of Alzahra Hospital, Isfahan, Iran, in Year 2017

Document Type : Original Article (s)

Authors
Azam Teimouri 1
Seyed Erfan Majidi 2
1 Assistant Professor, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.22122/jims.v37i540.12088
Abstract
Background: Pulmonary embolism (PE) is one of the common diseases of the internal emergency; so, recognizing the risk factors of PE to prevent the disease and its complications can be helpful. In this study, we decided to evaluate the relative frequency of this disease and its common risk factors in patients referred to the emergency department of Alzahra hospital, Isfahan, Iran, during the year 2017.Methods: In this cross-sectional descriptive-analytic study, the statistical population consisted of all patients referring to the internal emergency department of Alzahra hospital in 2017. The data were analyzed using chi-square and independent t statistical tests via SPSS software.Findings: In 2017, 103 of 53,660 people referred to emergency department (0.2%) were diagnosed with definite PE. The most common risk factor in patients was a history of inactivity during the last 30 days.Conclusion: In this study, among the risk factors of PE, the highest relative incidence was of inactivation during the last month before admission. It can be concluded that in cases with long-term inactivity, it is necessary to take some special cares to prevent lethal diseases.
Keywords
Risk Factors
Pulmonary Thromboembolism
Prevalence
  1. Merrigan JM, Piazza G, Lynm C, Livingston EH. JAMA patient page. Pulmonary embolism. JAMA 2013; 309(5): 504.
  2. Ouellette DR, Harrington A, Kamangar N. Pulmonary Embolism: Practice Essentials, Background, Anatomy [Online]. [cited 2019 Feb 26]; Available from: URL: https://emedicine.medscape.com/article/300901-overview
  3. Piazza G, Goldhaber SZ. Acute pulmonary embolism: Part I: Epidemiology and diagnosis. Circulation 2006; 114(2): e28-e32.
  4. Segal JB, Brotman DJ, Necochea AJ, Emadi A, Samal L, Wilson LM, et al. Predictive value of factor V Leiden and prothrombin G20210A in adults with venous thromboembolism and in family members of those with a mutation: A systematic review. JAMA 2009; 301(23): 2472-85.
  5. Marchiori A, Mosena L, Prins MH, Prandoni P. The risk of recurrent venous thromboembolism among heterozygous carriers of factor V Leiden or prothrombin G20210A mutation. A systematic review of prospective studies. Haematologica 2007; 92(8): 1107-14.
  6. Wu O, Robertson L, Langhorne P, Twaddle S, Lowe GD, Clark P, et al. Oral contraceptives, hormone replacement therapy, thrombophilias and risk of venous thromboembolism: a systematic review. The Thrombosis: Risk and Economic Assessment of Thrombophilia Screening (TREATS) Study. Thromb Haemost 2005; 94(1): 17-25.
  7. Beckman MG, Hooper WC, Critchley SE, Ortel TL. Venous thromboembolism: A public health concern. Am J Prev Med 2010; 38(4 Suppl): S495-S501.
  8. Andersson T, Soderberg S. Incidence of acute pulmonary embolism, related comorbidities and survival; analysis of a Swedish national cohort. BMC Cardiovasc Disord 2017; 17(1): 155.
  9. Shigeta A, Tanabe N, Shimizu H, Hoshino S, Maruoka M, Sakao S, et al. Gender differences in chronic thromboembolic pulmonary hypertension in Japan. Circ J 2008; 72(12): 2069-74.
  10. Cushman M, Tsai AW, White RH, Heckbert SR, Rosamond WD, Enright P, et al. Deep vein thrombosis and pulmonary embolism in two cohorts: the longitudinal investigation of thromboembolism etiology. Am J Med 2004; 117(1): 19-25.
  11. Goldhaber SZ, Savage DD, Garrison RJ, Castelli WP, Kannel WB, McNamara PM, et al. Risk factors for pulmonary embolism. The Framingham Study. Am J Med 1983; 74(6): 1023-8.
  12. Perez-Rodriguez E, Jimenez D, Diaz G, Perez-Walton I, Luque M, Guillen C, et al. Incidence of air travel-related pulmonary embolism at the Madrid-Barajas airport. Arch Intern Med 2003; 163(22): 2766-70.
  13. Anderson FA, Jr., Wheeler HB, Goldberg RJ, Hosmer DW, Patwardhan NA, Jovanovic B, et al. A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism. The Worcester DVT Study. Arch Intern Med 1991; 151(5): 933-8.
  14. Goldhaber SZ, Grodstein F, Stampfer MJ, Manson JE, Colditz GA, Speizer FE, et al. A prospective study of risk factors for pulmonary embolism in women. JAMA 1997; 277(8): 642-5.
  15. Heit JA, Silverstein MD, Mohr DN, Petterson TM, O'Fallon WM, Melton LJ 3rd. Risk factors for deep vein thrombosis and pulmonary embolism: a population-based case-control study. Arch Intern Med 2000; 160(6): 809-15.
Journal of Isfahan Medical School
Volume 37, Issue 540 - Serial Number 540
July and August 2019
Pages 1007-1012

  • Receive Date 27 July 2019
  • Accept Date 06 April 2022