Symptomatic pulmonary embolism among stroke patients in Taiwan: A retrospective cohort study

Chih Chi Chen, Tsong Hai Lee, Chia Ying Chung, Wei Han Chang, Jia Pei Hong, Li Ting Huang, Simon Tang, Chih Kuang Chen

研究成果: 雜誌貢獻文章同行評審

3 引文 斯高帕斯(Scopus)

摘要

Background: Stroke patients are at particular risk for developing pulmonary embolism (PE), which is a cardiovascular emergency associated with a high mortality rate. Little information is available on symptomatic PE in Asian stroke patients. Objective: To determine the frequency of symptomatic PE in ischemic and hemorrhagic stroke patients; to identify common characteristics and risk factors of symptomatic PE in Taiwanese stroke patients; and to compare the difference between fatal PE and nonfatal PE among these stroke patients. Methods: This is a retrospective cohort study of stroke patients admitted between January 2002 and December 2009 to a tertiary referral center in Northern Taiwan. We used theInternational Classifi cation of Diseases, Ninth Revision, Clinical Modifi cation codes to identify eligible patients. We determined annual frequency and risk factors of symptomatic PE. We also compared the difference between ischemic stroke patients with fatal and nonfatal PE. Results: Among the admitted stroke patients, 21,129 (78.87%) had ischemic strokes and 5,662 (21.13 %) had hemorrhagic strokes. There were 14 (0.066%) ischemic and 1 hemorrhagic stroke (0.018%) patients included in this study. Of the recruited stroke patients, 64.29% had past heart disease history, especially atrial fi brillation (42.86%). Patients with fatal PE showed a signifi cantly lower poststroke Glasgow Coma Scale (GCS) motor component than patients with nonfatal PE. Conclusions: Symptomatic PE is not common in stroke patients in Taiwan. Clinicians need to keep this fatal disease in mind, especially for persons with heart disease like atrial fi brillation. Stroke patients with impaired poststroke GCS motor components seemed to have a greater mortality risk if they have symptomatic PE.
原文英語
頁(從 - 到)361-368
頁數8
期刊Topics in Stroke Rehabilitation
19
發行號5
DOIs
出版狀態已發佈 - 1月 1 2012
對外發佈

ASJC Scopus subject areas

  • 復健
  • 社區和家庭護理
  • 神經病學(臨床)

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