Do We Have to Check Pulmonary Thromboembolism in Patients with Deep Vein Thrombosis in Emergency Department?.
- Author:
Taerim KIM
1
;
Seung Mok RYOO
;
Shin AHN
;
Chang Hwan SOHN
;
Dong Woo SEO
;
Jae Ho LEE
;
Yoon Seon LEE
;
Kyung Soo LIM
;
Won Young KIM
Author Information
1. Department of Emergency Medicine, Ulsan University College of Medicine, Asan Medical Center, Seoul, Korea. wonpia73@naver.com
- Publication Type:Original Article
- Keywords:
Venous thrombosis;
Thromboembolism;
Multidetector computed tomography
- MeSH:
Cohort Studies;
Electrocardiography;
Emergencies*;
Emergency Service, Hospital*;
Heart;
Humans;
Multidetector Computed Tomography;
Multivariate Analysis;
Popliteal Vein;
Pulmonary Embolism*;
Retrospective Studies;
Risk Factors;
Thromboembolism;
Venous Thrombosis*
- From:Journal of the Korean Society of Emergency Medicine
2016;27(1):8-14
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Deep vein thrombosis (DVT) is a risk factor of pulmonary thromboembolism (PTE), however it is not clear who should be evaluated for a PTE and a DVT at the same time. The purpose of this study is to determine the clinical characteristics of PTE in patients with DVT who visited the emergency department (ED). METHODS: This was a retrospective cohort study of ED patients who visited with DVT and were simultaneously evaluated for a PTE from January 2012 to December 2013. We compared clinical characteristics between non-PTE and PTE patients with confirmed DVT in the ED. RESULTS: Of these 166 patients, 96 patients (57.8%) were confirmed PTE by computed tomography. In multivariate analysis, patients with PTE had more systemic neoplasm (OR 2.03, 95% CI 1.04-3.93, p=0.037) and right heart strain pattern in electrocardiography (OR 5.29, 95% CI 1.71-16.36, p=0.004) than patients without PTE. Femoral DVT was more likely in the non-PTE group (87.1% vs. 65.6%, p=0.002) and popliteal DVT was more likely in the PTE group (62.9% vs. 80.2%, p=0.013). However the number of DVT sites including both femoral and popliteal vein was not statistically different. CONCLUSION: In patients with systemic neoplasm or right heart strain patterns in electrocardiography, simultaneous PTE evaluation may be required in patients with DVT.
