Incidence of Pulmonary Embolism in Surgical Patients: Hospital-based

  • Supatcha PrasertcharoensukEmail author
  • Narongchai Wongkonkitsin
  • Sathienrapong Chantawibul
Original Article


Venous thromboembolism has become a major concern due to its association with reduced survival and considerable economic burden. The purpose of this study is to evaluate the incidence, risk factors, and survival in surgical patients. This was a retrospective study conducted at the Department of Surgery in Khon Kaen University Hospital (Thailand). All patients who were admitted to the surgical unit and diagnosed as having pulmonary embolism between 2007 and 2015 were consecutively enrolled. There were 85 surgical patients diagnosed with pulmonary embolism for over 10 years. The most common presentation is tachycardia. All patients were assessed with Caprini score; 95% has high risk but none of them have received VTE prophylaxis. The median survival time is only 50 days after diagnosing pulmonary embolism. Our study demonstrates that the reported incidence of pulmonary embolism is increasing and that PE is associated with higher mortality; therefore, surgical patients should receive VTE prophylaxis when Caprini scoring was high.


Pulmonary embolism VTE Incidence Survival 



The authors would like to thank Prof. Kamphol Laohapensang and Prof. Kittisak Sawanyawisuth for assisting in writing this manuscript, and Mr. Dylan Southard for assisting with the English language presentation of the manuscript under the aegis of the Publication Clinic KKU, Thailand.

Author Contribution

•Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work: SP, NW, SC

•Drafting the work or revising it critically for important intellectual content: SP

•Final approval of the version to be published: SP

•Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: SP, NW, SC

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


  1. 1.
    Sakon M, Maehara Y, Yoshikawa H, Akaza H (2006) Incidence of venous thromboembolism following major abdominal surgery: a multi-center, prospective epidemiological study in Japan. J Thromb Haemost 4(3):581–586CrossRefGoogle Scholar
  2. 2.
    Ng HJ, Lee LH (2009) Trends in prevalence of deep venous thrombosis among hospitalised patients in an Asian institution. Thromb Haemost 101(6):1095–1099CrossRefGoogle Scholar
  3. 3.
    Angchaisuksiri P (2011) Venous thromboembolism in Asia--an unrecognised and under-treated problem? Thromb Haemost 106(4):585–590PubMedGoogle Scholar
  4. 4.
    Tagalakis V, Patenaude V, Kahn SR, Suissa S (2013) Incidence of and mortality from venous thromboembolism in a real-world population: the Q-VTE Study Cohort. Am J Med 126(9):832 e13-21CrossRefGoogle Scholar
  5. 5.
    Fernandez MM, Hogue S, Preblick R, Kwong WJ (2015) Review of the cost of venous thromboembolism. Clinicoecon Outcomes Res 7:451–462CrossRefGoogle Scholar
  6. 6.
    Goldhaber SZ, Visani L, De Rosa M (1999) Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet. 353(9162):1386–1389CrossRefGoogle Scholar
  7. 7.
    Lee LH, Gallus A, Jindal R, Wang C, Wu CC (2017) Incidence of venous thromboembolism in Asian populations: a systematic review. Thromb Haemost 117(12):2243–2260CrossRefGoogle Scholar
  8. 8.
    Akaraborworn O, Chittawatanarat K, Chatmongkolchart S, Kitsiripant C (2016) Modalities in venous thromboembolism prophylaxis and symptomatic venous thromboembolism occurrence in critically ill surgical patients (THAI-SICU Study). J Med Assoc Thail 99:S112–S1S7Google Scholar
  9. 9.
    Vachirasrisirikul S, Laohapensang K (2016) Incidence and risk factors of venous thromboembolism following major abdominal surgery. J Med Assoc Thail 99(6):665–674Google Scholar
  10. 10.
    Konstantinides SV, Torbicki A, Agnelli G, Danchin N, Fitzmaurice D, Galie N et al (2014) ESC guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 35(43):3033–3069 69a-69 kCrossRefGoogle Scholar
  11. 11.
    Jaff MR, McMurtry MS, Archer SL, Cushman M, Goldenberg N, Goldhaber SZ et al (2011) Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation. 123(16):1788–1830CrossRefGoogle Scholar
  12. 12.
    Kim KI, Cho KY, Jin W, Khurana SS, Bae DK (2011) Recent Korean perspective of deep vein thrombosis after total knee arthroplasty. J Arthroplast 26(7):1112–1116CrossRefGoogle Scholar
  13. 13.
    Leizorovicz A, Turpie AG, Cohen AT, Wong L, Yoo MC, Dans A et al (2005) Epidemiology of venous thromboembolism in Asian patients undergoing major orthopedic surgery without thromboprophylaxis. the SMART study. J Thromb Haemost 3(1):28–34CrossRefGoogle Scholar

Copyright information

© Association of Surgeons of India 2019

Authors and Affiliations

  1. 1.Vascular unit, Department of SurgeryKhon Kaen UniversityMueang Khon Kaen DistrictThailand

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