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SM ISO690:2012 BĂITOI, Silvia, GROSU, Oxana, RUSU, Irina. Pulmonary thromboembolia - quality indicator of stroke care. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 230. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | |||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | |||||||
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Pag. 230-230 | |||||||
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Rezumat | |||||||
Background. Pulmonary thromboembolism is a serious medical complication which account for up to 50% of early deaths after stroke. Effective prophylaxis of deep vein thrombosis, early mobilization, hydration and comorbidity management may significantly reduce the risk of this complication. Objective of the study. The study of pulmonary thromboembolism as a quality indicator in the treatment of stroke patients. Material and Methods. A retrospective analysis of autopsy protocols from 2017 till 2020 was performed and 13 cases of pulmonary thromboembolism missed in the clinic but identified at necropsy were selected. Results. The study sample consist of 5 men (38.5%) and 8 women (61.5%) aged 47-83 years. All patients were confirmed with stroke by computer tomography. The risk factors for the development of a thrombotic event were limb paralysis and immobilization in 13 pts (100%) , heart failure in 12 pts (92.3%) , obesity - 8 pts (61.5%) %), atrial fibrillation - 5 pts (38.46%), 1 patient (7.69%) with history of deep vein thrombosis. The diagnosis was suspected in 8 (61.53%) patients, but only 2 pts (15.38%) presented a suggestive clinical picture. Thromboprophylaxis was performed in 9 pts 69.2%). Conclusion. Pulmonary thromboembolism is an indicator of the quality of management of stroke patients and the presence of 13 cases of pulmonary thromboembolism missed in the clinic demonstrates the low quality of stroke care. |
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Cuvinte-cheie stroke, pulmonary embolism, risk factors, accident vascular cerebral, tromboembolia pulmonară, factori de risc |
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