Articolul precedent |
Articolul urmator |
357 4 |
Ultima descărcare din IBN: 2021-11-29 08:28 |
Căutarea după subiecte similare conform CZU |
616.24-005.7]:616.8-005-036 (1) |
Pathology of the respiratory system. Complaints of the respiratory organs (757) |
SM ISO690:2012 BĂITOI, Silvia, GROSU, Oxana, MANOLE, Elena, ROTARU, Lilia, ODAINIC, Olesea, CORCEA, Galina. Pulmonary embolism in stroke patients: autopsy results study. In: 7th Congress of the Society of Neurologists Issue of the Republic of Moldova, Ed. 7, 16-18 septembrie 2021, Chişinău. Chişinău: Revista Curier Medical, 2021, Vol.64, p. 20. ISSN 2537-6381 (Online). |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
7th Congress of the Society of Neurologists Issue of the Republic of Moldova Vol.64, 2021 |
|||||||
Congresul "7th Congress of the Society of Neurologists Issue of the Republic of Moldova" 7, Chişinău, Moldova, 16-18 septembrie 2021 | |||||||
|
|||||||
CZU: 616.24-005.7]:616.8-005-036 | |||||||
Pag. 20-20 | |||||||
|
|||||||
Descarcă PDF | |||||||
Rezumat | |||||||
Background: Pulmonary embolism is a major contributor to in-hospital mortality after stroke and accounts for up to 50% of early deaths. The clinical picture could be unremarkable, so the complication is not recognized in a timely manner. The purpose of the study was to analyze the missed cases of pulmonary embolism after stroke. Material and methods: A retrospective analysis of autopsy protocols from 2017 till 2020 was performed and 13 cases of thromboembolism clinically unidentified but detected at necropsy were selected. Results: The study sample consists of 5 men (38.5%) and 8 women (61.5%) aged 47 – 83 years. By CT were confirmed as ischemic stroke 6 pts (46.8%), hemorrhagic stroke – 4 pts (30.1%) one of them underwent surgery (7.69%), ischemic stroke with hemorrhagic transformation – 3 pts (23.1%). It was the first event for 11 pts (84.61%) and 2 pts (15.4%) with recurrent stroke. Major cardiovascular risk factors were: hypertension – 2 pts (92.3%), obesity – 8 pts (61.5%), diabetes mellitus – 5 pts (38.46%), atrial fibrillation – 5 pts (38.46%), 1 patient (7.69%) with thrombosis in other areas. Autopsy results indicate pulmonary embolism as the direct cause of death in all patients, but just 2 pts (15.38%) presented suggestive clinical signs. Conclusions: Patients with stroke are at higher risk of pulmonary embolism due to bed rest, limb paralysis and predisposing risk factors but just a small number of patients are recognized timely to act, that’s why it is important to establish strict protocols and high awareness. |
|||||||
Cuvinte-cheie stroke, pulmonary embolism, risk factors, complications, death |
|||||||
|
Dublin Core Export
<?xml version='1.0' encoding='utf-8'?> <oai_dc:dc xmlns:dc='http://purl.org/dc/elements/1.1/' xmlns:oai_dc='http://www.openarchives.org/OAI/2.0/oai_dc/' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' xsi:schemaLocation='http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd'> <dc:creator>Băitoi, S.</dc:creator> <dc:creator>Grosu, O.V.</dc:creator> <dc:creator>Manole, E.P.</dc:creator> <dc:creator>Rotaru, L.A.</dc:creator> <dc:creator>Odainic, O.</dc:creator> <dc:creator>Corcea, G.V.</dc:creator> <dc:date>2021</dc:date> <dc:description xml:lang='en'><p>Background: Pulmonary embolism is a major contributor to in-hospital mortality after stroke and accounts for up to 50% of early deaths. The clinical picture could be unremarkable, so the complication is not recognized in a timely manner. The purpose of the study was to analyze the missed cases of pulmonary embolism after stroke. Material and methods: A retrospective analysis of autopsy protocols from 2017 till 2020 was performed and 13 cases of thromboembolism clinically unidentified but detected at necropsy were selected. Results: The study sample consists of 5 men (38.5%) and 8 women (61.5%) aged 47 – 83 years. By CT were confirmed as ischemic stroke 6 pts (46.8%), hemorrhagic stroke – 4 pts (30.1%) one of them underwent surgery (7.69%), ischemic stroke with hemorrhagic transformation – 3 pts (23.1%). It was the first event for 11 pts (84.61%) and 2 pts (15.4%) with recurrent stroke. Major cardiovascular risk factors were: hypertension – 2 pts (92.3%), obesity – 8 pts (61.5%), diabetes mellitus – 5 pts (38.46%), atrial fibrillation – 5 pts (38.46%), 1 patient (7.69%) with thrombosis in other areas. Autopsy results indicate pulmonary embolism as the direct cause of death in all patients, but just 2 pts (15.38%) presented suggestive clinical signs. Conclusions: Patients with stroke are at higher risk of pulmonary embolism due to bed rest, limb paralysis and predisposing risk factors but just a small number of patients are recognized timely to act, that’s why it is important to establish strict protocols and high awareness.</p></dc:description> <dc:source>7th Congress of the Society of Neurologists Issue of the Republic of Moldova (Vol.64) 20-20</dc:source> <dc:subject>stroke</dc:subject> <dc:subject>pulmonary embolism</dc:subject> <dc:subject>risk factors</dc:subject> <dc:subject>complications</dc:subject> <dc:subject>death</dc:subject> <dc:title>Pulmonary embolism in stroke patients: autopsy results study</dc:title> <dc:type>info:eu-repo/semantics/article</dc:type> </oai_dc:dc>