Deceased elderly in-patients with pulmonary embolism
| Autoři | |
|---|---|
| Rok publikování | 2014 |
| Druh | Článek v odborném periodiku |
| Časopis / Zdroj | Bratislavské lekárské listy |
| Fakulta / Pracoviště MU | |
| Citace | |
| Doi | http://dx.doi.org/10.4149/BLL_2014_152 |
| Obor | Ostatní obory vnitřního lékařství |
| Klíčová slova | pulmonary embolism (PE); advanced age; mortality; risk factors; immobility; prophylaxis |
| Popis | Introduction: Pulmonary embolism (PE) in the elderly is an immediate threat of life. Especially in old age clinical signs of PE are non-specifi c and could be both underestimated and overestimated. Aim of the study: The prospective long-term study was aimed at conducting an analysis and comparison of pertinent infl uence of age, gender and immobility on occurrence of PE and sudden death. Patients and method: Between 1995 and 2012 years we had altogether 12,746 elderly patients of an average age 80.6 ± 7.0 y (range 65–103 y) hospitalised at the Department of Geriatrics. All in-patients 65+ y were randomly admitted for internal hospitalization from the catchment area of Brno city (100,000 inhabitants). The subject of our interest was to study the documentation of deaths (including autopsy fi ndings), which was caused by PE. Out of this number there were 8,540 women (66.3 %) and 4,206 men (33.7 %). Among all hospitalized patients PE in 700 cases (5.5 % of all admitted patients) was shown in a medical report. Among them there were 424 survivors (60.6 %; 134 men and 290 women). Conclusion: The high occurrence of PE (particularly silent form) has crucial importance in the elderly mortality. Our recommendations would like to emphasize the need of no underestimation of this fact and to carry out preventive measures in all age groups (including the “oldest old” and frail persons). |