Short term outcomes of Pulmonary Embolism: A National Perspective.

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Citation: Clinical Cardiology. 2018 Aug 17PMID: 30117162Institution: MedStar Union Memorial HospitalForm of publication: Journal ArticleMedline article type(s): Journal ArticleYear: 2018Local holdings: Available online from MWHC library: 1976 - present, Available in print through MWHC library:1999-2007ISSN:
  • 0160-9289
Name of journal: Clinical cardiologyAbstract: CONCLUSIONS: Older female patients were more likely to have a pulmonary embolism. High-risk groups such as heart failure, chronic pulmonary disease, anemia and malignancy need to be given extra attention to prevent worse outcomes. This article is protected by copyright. All rights reserved.Copyright This article is protected by copyright. All rights reserved.METHODS: The study cohort was derived from the National Readmission Data (NRD) 2013-14. Pulmonary embolism was identified using International Classification of Diseases, 9th Revision (ICD-9-CM) code 415.11/3/9 in the primary diagnosis field. Any admission within 90 days of primary admission was considered a 90-day readmission. Readmission etiologies were identified by ICD-9 code in the primary diagnosis field. Co-primary outcomes were 90-day readmission and 90-day mortality.OBJECTIVE: Pulmonary embolism (PE) is associated with significant morbidity and mortality in hospitalized patients. Real time data on 90-day mortality, bleeding and readmission is sparse.RESULTS: We identified 260,614 patients with primary admission PE, 55,659 (21.36%) patients were readmitted within 90 days. Most of them were of old age (age >=65 years: 49.04%) and females (52.78%). Among the etiologies of readmission pulmonary disorders (22.94%) (Including recurrent PE 7.33%), malignancies (8.31%) and bleeding disorders (6.75%) were the most important causes of 90-day readmissions. On multivariate analysis, higher readmission rates and 90 days mortality were seen in patients with heart failure, chronic pulmonary disease, Anemia, malignancy and with higher Charlson score. Patients with longer length of stay during primary admission and who discharged to short/long term facility were more likely get readmitted and die in 90 days. Paradoxically, obese patients showed an inverse relationship with co-primary outcomes.All authors: Arora S, Faruqi I, Kumar V, Qureshi MR, Savani S, Shah H, Shah P, Sharma P, Sharma R, Sharma S, Tripathi BFiscal year: FY2019Digital Object Identifier: Date added to catalog: 2018-08-23
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 30117162 Available 30117162

Available online from MWHC library: 1976 - present, Available in print through MWHC library:1999-2007

CONCLUSIONS: Older female patients were more likely to have a pulmonary embolism. High-risk groups such as heart failure, chronic pulmonary disease, anemia and malignancy need to be given extra attention to prevent worse outcomes. This article is protected by copyright. All rights reserved.

Copyright This article is protected by copyright. All rights reserved.

METHODS: The study cohort was derived from the National Readmission Data (NRD) 2013-14. Pulmonary embolism was identified using International Classification of Diseases, 9th Revision (ICD-9-CM) code 415.11/3/9 in the primary diagnosis field. Any admission within 90 days of primary admission was considered a 90-day readmission. Readmission etiologies were identified by ICD-9 code in the primary diagnosis field. Co-primary outcomes were 90-day readmission and 90-day mortality.

OBJECTIVE: Pulmonary embolism (PE) is associated with significant morbidity and mortality in hospitalized patients. Real time data on 90-day mortality, bleeding and readmission is sparse.

RESULTS: We identified 260,614 patients with primary admission PE, 55,659 (21.36%) patients were readmitted within 90 days. Most of them were of old age (age >=65 years: 49.04%) and females (52.78%). Among the etiologies of readmission pulmonary disorders (22.94%) (Including recurrent PE 7.33%), malignancies (8.31%) and bleeding disorders (6.75%) were the most important causes of 90-day readmissions. On multivariate analysis, higher readmission rates and 90 days mortality were seen in patients with heart failure, chronic pulmonary disease, Anemia, malignancy and with higher Charlson score. Patients with longer length of stay during primary admission and who discharged to short/long term facility were more likely get readmitted and die in 90 days. Paradoxically, obese patients showed an inverse relationship with co-primary outcomes.

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