Skip to main content

Advertisement

Log in

Incidence of Pulmonary Embolism in Surgical Patients: Hospital-based

  • Original Article
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  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):581–586

    Article  CAS  Google Scholar 

  2. Ng HJ, Lee LH (2009) Trends in prevalence of deep venous thrombosis among hospitalised patients in an Asian institution. Thromb Haemost 101(6):1095–1099

    Article  CAS  Google Scholar 

  3. Angchaisuksiri P (2011) Venous thromboembolism in Asia--an unrecognised and under-treated problem? Thromb Haemost 106(4):585–590

    CAS  PubMed  Google Scholar 

  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 e13-21

    Article  Google Scholar 

  5. Fernandez MM, Hogue S, Preblick R, Kwong WJ (2015) Review of the cost of venous thromboembolism. Clinicoecon Outcomes Res 7:451–462

    Article  Google Scholar 

  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):1386–1389

    Article  CAS  Google Scholar 

  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):2243–2260

    Article  Google Scholar 

  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–S1S7

    Google Scholar 

  9. Vachirasrisirikul S, Laohapensang K (2016) Incidence and risk factors of venous thromboembolism following major abdominal surgery. J Med Assoc Thail 99(6):665–674

    Google Scholar 

  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 k

    Article  CAS  Google Scholar 

  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):1788–1830

    Article  Google Scholar 

  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):1112–1116

    Article  Google Scholar 

  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):28–34

    Article  CAS  Google Scholar 

Download references

Acknowledgments

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 information

Authors and Affiliations

Authors

Contributions

•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

Corresponding author

Correspondence to Supatcha Prasertcharoensuk.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Prasertcharoensuk, S., Wongkonkitsin, N. & Chantawibul, S. Incidence of Pulmonary Embolism in Surgical Patients: Hospital-based. Indian J Surg 82, 497–500 (2020). https://doi.org/10.1007/s12262-019-02007-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-019-02007-x

Keywords

Navigation