JACC:昏迷病人中肺动脉栓塞的发生率研究

2019-08-30 不详 MedSci原创

肺栓塞(PE)发生率在急诊昏迷的病人中尚不清楚,本研究的目的旨在评估PE在昏迷病人中的发生率。本研究无选择地纳入了昏迷患者,对1380名(99%)患者进行了360天的随访,对1156名(83%)患者进行了720天的随访。在1397名昏迷病人中,有19名患者被检出PE(1.4%; 95%[CI]: 0.87%-2.11%),在2年的随访中,新发的PE或心血管死亡发生率为0.9% (95% CI: 0

肺栓塞(PE)发生率在急诊昏迷的病人中尚不清楚,本研究的目的旨在评估PE在昏迷病人中的发生率。

本研究无选择地纳入了昏迷患者,对1380名(99%)患者进行了360天的随访,对1156名(83%)患者进行了720天的随访。在1397名昏迷病人中,有19名患者被检出PE(1.4%; 95%[CI]: 0.87%-2.11%),在2年的随访中,新发的PE或心血管死亡发生率为0.9% (95% CI: 0.5%-1.5%)。另外,在住院患者中(47%),PE的检出人数为15名(2.3%; 95% CI: 1.4%-3.7%),2年随访中新发的PE或心血管死亡发生率为0.9% (95% CI: 0.4%-2.0%)。

研究结果显示,在急诊昏迷患者中,肺动脉栓塞并不是一个常见因素,因此,对所有昏迷患者进行肺动脉栓塞的筛查没有必要。

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    2020-07-31 hbwxf
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    2019-09-01 wgx307

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