Pulmonary embolism in the hospitalized 65+ in relation to presence of diabetes in 2007–2015



Year of publication 2017
Type Article in Periodical
Magazine / Source Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo
MU Faculty or unit

Faculty of Medicine

Field Other specializations of internal medicine
Keywords Advanced age; pulmonary embolism (PE); venous thrombembolism (DVT); risk factors; diabetes mellitus; immobility; obesity
Attached files
Description Introduction: Venous thrombembolism (VTE) is the third most frequent cardiovascular disease. Approximately 1 % of hospitalized patients die of pulmonary embolism (PE). Aim: To compare an occurence of acute PE in hospitalized patients 65+ y. old with diabetes mellitus (DM) with those without any DM. Results: Prevalence PE in the hospitalized 65+ y. old was 2.9 %. Mortality of PE among all the hospitalized 65+ was 1.0 %. Higher prevalence of PE was found in non-diabetics – 3.2 %, as compared to the diabetics – 2.3 % (p<0.025). The average age of patients with diabetes both with and without PE was lower as compared to the non-diabetics (p<0.01). Among risk factors we found significantly more frequently obesity in the diabetics as compared to the non-diabetics both surviving (p<0.001) and those who died (p<0.05). The most important risk factor of PE was in all the patients immobility. One risk factor appeared in the set of survivors more frequently in the non-diabetics as compared to the diabetics (p<0.05). Simultaneous occurence of three risk factors appeared more frequently in the surviving diabetics (p<0.001) as compared to the non-diabetics. Conclusion: Although overall presence of risk factors was higher in the diabetics, PE prevalence in the DM patients was lower as compared to the non-diabetics. As far as mortality is concerned we did not find any substantial differences between both groups. The most important risk factor for PE occurence was immobility in general, in the diabetics then also obesity.

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