Risk factors, clinical profile, and management outcome of patients with isolated subsegmental pulmonary embolism: A single-center experience from North India
Background and Objective: The clinical profile of patients with isolated subsegmental pulmonary embolism (SSPE) remains understudied and underreported. To describe the clinical particulars of patients with SSPE, we aimed to compare clinical signs and symptoms, risk factors, lab parameters, and short...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Jaypee Brothers Medical Publisher
2022-01-01
|
| Series: | Indian Journal of Respiratory Care |
| Subjects: | |
| Online Access: | http://www.ijrc.in/article.asp?issn=2277-9019;year=2022;volume=11;issue=2;spage=149;epage=153;aulast=Sheikh |
| _version_ | 1797696780496797696 |
|---|---|
| author | Arif Rehman Sheikh Farzana Manzoor Sanaullah Shah |
| author_facet | Arif Rehman Sheikh Farzana Manzoor Sanaullah Shah |
| author_sort | Arif Rehman Sheikh |
| collection | DOAJ |
| description | Background and Objective: The clinical profile of patients with isolated subsegmental pulmonary embolism (SSPE) remains understudied and underreported. To describe the clinical particulars of patients with SSPE, we aimed to compare clinical signs and symptoms, risk factors, lab parameters, and short-term mortality between patients with isolated SSPE and those with proximal pulmonary embolism (PE). Materials and Methods: We prospectively studied all patients with objectively confirmed PE over 4 years. Depending on the location of the most proximal pulmonary artery in which emboli were detected, patients were divided into two groups: (a) isolated SSPE and (b) proximal PE. Different clinical and laboratory parameters were compared between the two groups. Results: One hundred and fifty patients were enrolled during the 4-year study. Twenty-three (15.3%) patients were diagnosed with isolated SSPE. Compared to proximal PE, patients with SSPE are younger, are more likely to have active malignancy, less likely to have dyspnea, and more likely to have chest pain, are hemodynamically stable with a lesser prevalence of hypoxemia and hypocapnia. Patients with isolated SSPE have shorter hospital stays and lower 30-day mortality compared to proximal PE. Conclusion: Patients with isolated SSPE have a mild clinical presentation, lesser laboratory abnormalities, and a favorable short-term outcome compared to patients with proximal PE. |
| first_indexed | 2024-03-12T03:31:05Z |
| format | Article |
| id | doaj.art-a593f05aac874b5ba8f7c89aa4513452 |
| institution | Directory Open Access Journal |
| issn | 2277-9019 2321-4899 |
| language | English |
| last_indexed | 2024-03-12T03:31:05Z |
| publishDate | 2022-01-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Indian Journal of Respiratory Care |
| spelling | doaj.art-a593f05aac874b5ba8f7c89aa45134522023-09-03T13:26:27ZengJaypee Brothers Medical PublisherIndian Journal of Respiratory Care2277-90192321-48992022-01-0111214915310.4103/ijrc.ijrc_1_22Risk factors, clinical profile, and management outcome of patients with isolated subsegmental pulmonary embolism: A single-center experience from North IndiaArif Rehman SheikhFarzana ManzoorSanaullah ShahBackground and Objective: The clinical profile of patients with isolated subsegmental pulmonary embolism (SSPE) remains understudied and underreported. To describe the clinical particulars of patients with SSPE, we aimed to compare clinical signs and symptoms, risk factors, lab parameters, and short-term mortality between patients with isolated SSPE and those with proximal pulmonary embolism (PE). Materials and Methods: We prospectively studied all patients with objectively confirmed PE over 4 years. Depending on the location of the most proximal pulmonary artery in which emboli were detected, patients were divided into two groups: (a) isolated SSPE and (b) proximal PE. Different clinical and laboratory parameters were compared between the two groups. Results: One hundred and fifty patients were enrolled during the 4-year study. Twenty-three (15.3%) patients were diagnosed with isolated SSPE. Compared to proximal PE, patients with SSPE are younger, are more likely to have active malignancy, less likely to have dyspnea, and more likely to have chest pain, are hemodynamically stable with a lesser prevalence of hypoxemia and hypocapnia. Patients with isolated SSPE have shorter hospital stays and lower 30-day mortality compared to proximal PE. Conclusion: Patients with isolated SSPE have a mild clinical presentation, lesser laboratory abnormalities, and a favorable short-term outcome compared to patients with proximal PE.http://www.ijrc.in/article.asp?issn=2277-9019;year=2022;volume=11;issue=2;spage=149;epage=153;aulast=Sheikhpulmonary embolismpulmonary embolism severity indexsubsegmental pulmonary embolismvenous thromboembolism |
| spellingShingle | Arif Rehman Sheikh Farzana Manzoor Sanaullah Shah Risk factors, clinical profile, and management outcome of patients with isolated subsegmental pulmonary embolism: A single-center experience from North India Indian Journal of Respiratory Care pulmonary embolism pulmonary embolism severity index subsegmental pulmonary embolism venous thromboembolism |
| title | Risk factors, clinical profile, and management outcome of patients with isolated subsegmental pulmonary embolism: A single-center experience from North India |
| title_full | Risk factors, clinical profile, and management outcome of patients with isolated subsegmental pulmonary embolism: A single-center experience from North India |
| title_fullStr | Risk factors, clinical profile, and management outcome of patients with isolated subsegmental pulmonary embolism: A single-center experience from North India |
| title_full_unstemmed | Risk factors, clinical profile, and management outcome of patients with isolated subsegmental pulmonary embolism: A single-center experience from North India |
| title_short | Risk factors, clinical profile, and management outcome of patients with isolated subsegmental pulmonary embolism: A single-center experience from North India |
| title_sort | risk factors clinical profile and management outcome of patients with isolated subsegmental pulmonary embolism a single center experience from north india |
| topic | pulmonary embolism pulmonary embolism severity index subsegmental pulmonary embolism venous thromboembolism |
| url | http://www.ijrc.in/article.asp?issn=2277-9019;year=2022;volume=11;issue=2;spage=149;epage=153;aulast=Sheikh |
| work_keys_str_mv | AT arifrehmansheikh riskfactorsclinicalprofileandmanagementoutcomeofpatientswithisolatedsubsegmentalpulmonaryembolismasinglecenterexperiencefromnorthindia AT farzanamanzoor riskfactorsclinicalprofileandmanagementoutcomeofpatientswithisolatedsubsegmentalpulmonaryembolismasinglecenterexperiencefromnorthindia AT sanaullahshah riskfactorsclinicalprofileandmanagementoutcomeofpatientswithisolatedsubsegmentalpulmonaryembolismasinglecenterexperiencefromnorthindia |