Pulmonary embolism in stroke patients: autopsy results study
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2021-11-29 08:28
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616.24-005.7]:616.8-005-036 (1)
Patologia sistemului respirator. Tulburări ale organelor de respiraţie (747)
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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).
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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

Pulmonary embolism in stroke patients: autopsy results study

CZU: 616.24-005.7]:616.8-005-036

Pag. 20-20

Băitoi Silvia1, Grosu Oxana2, Manole Elena1, Rotaru Lilia2, Odainic Olesea2, Corcea Galina2
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Diomid Gherman Institute of Neurology and Neurosurgery
 
Proiecte:
 
Disponibil în IBN: 27 septembrie 2021


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