Fatal pulmonary embolism in hospitalized patients. Clinical diagnosis versus pathological confirmation
OBJECTIVE - To assess the incidence of fatal pulmonary embolism (FPE), the accuracy of clinical diagnosis, and the profile of patients who suffered an FPE in a tertiary University Hospital. METHODS - Analysis of the records of 3,890 autopsies performed at the Department of General Pathology from Jan...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
1999-09-01
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| Series: | Arquivos Brasileiros de Cardiologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X1999000900001 |
| _version_ | 1819230581082292224 |
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| author | Cláudio Tinoco Mesquita José Laerte Boechat Morandi Júnior Flávia Teixeira Perrone Cláudia da Silva Oliveira Lavínia J. Barreira Sônia Santos C. A Nascimento Raul Carlos Pareto Júnior Evandro Tinoco Mesquita |
| author_facet | Cláudio Tinoco Mesquita José Laerte Boechat Morandi Júnior Flávia Teixeira Perrone Cláudia da Silva Oliveira Lavínia J. Barreira Sônia Santos C. A Nascimento Raul Carlos Pareto Júnior Evandro Tinoco Mesquita |
| author_sort | Cláudio Tinoco Mesquita |
| collection | DOAJ |
| description | OBJECTIVE - To assess the incidence of fatal pulmonary embolism (FPE), the accuracy of clinical diagnosis, and the profile of patients who suffered an FPE in a tertiary University Hospital. METHODS - Analysis of the records of 3,890 autopsies performed at the Department of General Pathology from January 1980 to December 1990. RESULTS - Among the 3,980 autopsies, 109 were cases of clinically suspected FPE; of these, 28 cases of FPE were confirmed. FPE accounted for 114 deaths, with clinical suspicion in 28 cases. The incidence of FPE was 2.86%. No difference in sex distribution was noted. Patients in the 6th decade of life were most affected. The following conditions were more commonly related to FPE: neoplasias (20%) and heart failure (18.5%). The conditions most commonly misdiagnosed as FPE were pulmonary edema (16%), pneumonia (15%) and myocardial infarction (10%). The clinical diagnosis of FPE showed a sensitivity of 25.6%, a specificity of 97.9%, and an accuracy of 95.6%. CONCLUSION - The diagnosis of pulmonary embolism made on clinical grounds still has considerable limitations. |
| first_indexed | 2024-12-23T11:31:20Z |
| format | Article |
| id | doaj.art-20ef23a1ada24c90bcfe1cbb62e747bf |
| institution | Directory Open Access Journal |
| issn | 0066-782X 1678-4170 |
| language | English |
| last_indexed | 2024-12-23T11:31:20Z |
| publishDate | 1999-09-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-20ef23a1ada24c90bcfe1cbb62e747bf2022-12-21T17:48:47ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41701999-09-0173325525810.1590/S0066-782X1999000900001Fatal pulmonary embolism in hospitalized patients. Clinical diagnosis versus pathological confirmationCláudio Tinoco MesquitaJosé Laerte Boechat Morandi JúniorFlávia Teixeira PerroneCláudia da Silva OliveiraLavínia J. BarreiraSônia Santos C. A NascimentoRaul Carlos Pareto JúniorEvandro Tinoco MesquitaOBJECTIVE - To assess the incidence of fatal pulmonary embolism (FPE), the accuracy of clinical diagnosis, and the profile of patients who suffered an FPE in a tertiary University Hospital. METHODS - Analysis of the records of 3,890 autopsies performed at the Department of General Pathology from January 1980 to December 1990. RESULTS - Among the 3,980 autopsies, 109 were cases of clinically suspected FPE; of these, 28 cases of FPE were confirmed. FPE accounted for 114 deaths, with clinical suspicion in 28 cases. The incidence of FPE was 2.86%. No difference in sex distribution was noted. Patients in the 6th decade of life were most affected. The following conditions were more commonly related to FPE: neoplasias (20%) and heart failure (18.5%). The conditions most commonly misdiagnosed as FPE were pulmonary edema (16%), pneumonia (15%) and myocardial infarction (10%). The clinical diagnosis of FPE showed a sensitivity of 25.6%, a specificity of 97.9%, and an accuracy of 95.6%. CONCLUSION - The diagnosis of pulmonary embolism made on clinical grounds still has considerable limitations.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X1999000900001pulmonary embolismmortalityclinical diagnosis |
| spellingShingle | Cláudio Tinoco Mesquita José Laerte Boechat Morandi Júnior Flávia Teixeira Perrone Cláudia da Silva Oliveira Lavínia J. Barreira Sônia Santos C. A Nascimento Raul Carlos Pareto Júnior Evandro Tinoco Mesquita Fatal pulmonary embolism in hospitalized patients. Clinical diagnosis versus pathological confirmation Arquivos Brasileiros de Cardiologia pulmonary embolism mortality clinical diagnosis |
| title | Fatal pulmonary embolism in hospitalized patients. Clinical diagnosis versus pathological confirmation |
| title_full | Fatal pulmonary embolism in hospitalized patients. Clinical diagnosis versus pathological confirmation |
| title_fullStr | Fatal pulmonary embolism in hospitalized patients. Clinical diagnosis versus pathological confirmation |
| title_full_unstemmed | Fatal pulmonary embolism in hospitalized patients. Clinical diagnosis versus pathological confirmation |
| title_short | Fatal pulmonary embolism in hospitalized patients. Clinical diagnosis versus pathological confirmation |
| title_sort | fatal pulmonary embolism in hospitalized patients clinical diagnosis versus pathological confirmation |
| topic | pulmonary embolism mortality clinical diagnosis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X1999000900001 |
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