Pulmonary Embolism Incidence Is Increasing with Increasing Use of CT Scans

Autor: Qianyu Dang, Wishwa N. Kapoor, Margaret V. Ragni, Nicholas A. DeMonaco
Rok vydání: 2005
Předmět:
Zdroj: Blood. 106:586-586
ISSN: 1528-0020
0006-4971
DOI: 10.1182/blood.v106.11.586.586
Popis: Pulmonary embolism (PE) is a major cause of morbidity in hospitalized patients, yet few data exist on PE incidence and characteristics among hospitalized patients. If those at greatest risk were able to be identified, early prevention might improve health outcomes. We, therefore, analyzed statewide discharge data from all hospitals in Pennsylvania on patients with PE, 1997-2001, collected by the Pennsylvania Health Care Cost Containment Council (PHC4) for clinical factors, Atlas severity of illness scores, and trends associated with PE. All non-pregnant Pennsylvania residents hospitalized for PE with the following ICD-9 PE-specific diagnostic codes were included in the analyses: 415.11 and 415.19. Diagnostic procedures were determined on the dataset by revenue codes, specifically for x-ray, chest x-ray, arteriography, nuclear medicine, and CT scan (including spiral CT). Total PE discharges were enumerated by age, race, and sex by year. The analysis was refined to exclude second or later admissions for PE. No subject identifiers or linkage codes were recorded or linked to the dataset. Severity of illness was determined by MediQual Atlas Admission Severity Categories and was analyzed for trends of malignancy, trauma, surgery, and fractures. The incidence of PE discharges among Pennsylvania residents increased from 47 to 63 per 100,000, a mean increase of 0.004% per year, p PE incidence in Hospitalized Patients in PA PE incidence in Hospitalized Patients in PA
Databáze: OpenAIRE