Prevalence of Pulmonary Thromboembolism in Patients Admitted to Emergency Department

Abstract

Objective: Pulmonary thromboembolism (PTE) is caused by thrombus originating from deep leg veins and obstructing the pulmonary artery and/or its branches. PTE is a preventable disease with high mortality and morbidity. It may relapse and is sometimes difficult to diagnose. Unnecessarydiagnostic tests are applied to many patients with suspected PTE. The aim of this study was to investigate the frequency of PTE in patients presentingwith a preliminary diagnosis of PTE to emergency clinic of a tertiary chest diseases hospital.Methods: The triage forms of all patients who were admitted to the emergency clinic of tertiary chest diseases hospital within one year wereexamined. Demographic characteristics, risk factors for PTE, examinations and definite diagnosis data were obtained from the automation system ofour hospital and evaluated retrospectively.Results: In 2012, the number of patients admitted to the emergency department was 33,413 and 411 patients (0.12%) were examined with preliminarydiagnosis of PTE. After initial evaluation, 292 patients (71%) were hospitalized, 117 patients (28.5%) were called for outpatient clinic follow-up, andtwo patients were referred to another hospital with non-PTE diagnosis (0.5%). After examinations at outpatient clinic or hospital admission, PTE wasdetected in 111 patients (27%) and deep vein thrombosis was found in 19 patients (4.6%). While 236 patients (57.4%) were diagnosed as non-PTE, 6patients (1.5%) died before a definite diagnosis and 39 patients (9.5%) did not attend outpatient clinic examinations. PTE was detected in 16.2% (n=19)of the patients followed in outpatient clinic and in 31.5% (n=92) of the hospitalized patients.Conclusion: In conclusion, the frequency of suspected PTE was 0.12% in patients admitted to the emergency department and 27% of these patientswere diagnosed with definite PTE.