한 대학병원에서 급성 폐색전증으로 진단된 환자들의 임상적 특성 및 예후

Other Titles
Acute Pulmonary Embolism: Clinical Characteristics and Outcomes in a University Teaching Hospital
Authors
채진녕최원일박지혜노병학김재범
Department
Dept. of Internal Medicine (내과학); Dept. of Radiology (영상의학); Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Issue Date
2010
Citation
Tuberculosis and Respiratory Diseases, Vol.68(3) : 140-145, 2010
ISSN
1738-3536
Abstract
Background: Pulmonary embolism (PE) is a common clinical problem in the West that is associated with substantial morbidity and mortality. The diagnostic modality has been changed since 2001. This study retrospectively reviewed the PE mortality with the aim of identifying the risk factors associated with mortality since the multidetector computed tomography (MDCT) was introduced. Methods: We analyzed 105 patients with acute PE proven by multidetector CT or ventilation perfusion scan. The primary outcome measure was the all-cause mortality at 3 months. The prognostic effect of the baseline factors on survival was assessed by multivariate analysis. Results: The main risk factors were prolonged immobilization, stroke, cancer and obesity. Forty nine percent of patients had 3 or more risk factors. The overall mortality at 3 months was 18.1%. Multivariate analysis revealed low diastolic blood pressure and the existence of cancer to be independent factors significantly associated with mortality. Forty two PE patients were examined for the coagulation inhibitors. Four of these patients had a protein C deficiency (9.5%), and 11 had a protein S deficiency (26%). Conclusion: PE is an important clinical problem with a high mortality rate. Close monitoring may be necessary in patients with the risk factors. Key Words: Pulmonary Embolism; Venous Thrombosis; Prognosis; Risk Factors; Thrombophilia
Keywords
Pulmonary EmbolismVenous ThrombosisPrognosisRisk FactorsThrombophilia
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/34784
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Keimyung Author(s)
최원일; 노병학; 김재범
File in this Item
oak-aaa-5114.pdf(341.45 kB)Download
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE