Fatal pulmonary embolism in hospitalized patients. Clinical diagnosis versus pathological confirmation.

Abstract:

: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.

journal_name

Arq Bras Cardiol

authors

Mesquita CT,Morandi Júnior JL,Perrone FT,Oliveira Cd,Barreira LJ,Nascimento SS,Pareto Júnior RC,Mesquita ET

doi

10.1590/s0066-782x1999000900001

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

255-258

issue

3

eissn

0066-782X

issn

1678-4170

pii

S0066-782X1999000900001

journal_volume

73

pub_type

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