Pulmonary Embolism Mortality Associated with the Necessity of Being Hospitalized Outside the Canton of Residence in Ecuador. Electron J Gen Med. 2021; 18 (3): em294

Abstract:

Methods: We performed a survival analysis study based on the retrospective review of the hospital discharges by PE in Ecuador from 2011 to 2018 through the Ecuadorian National Statistics and Census Institute databases. Results: We found 2974 cases of PE. From them, 505 (16.98%) patients deceased, 59.72% were females, 64.79% had an age≥ 60 years with an average of 65.04 years, 19.80% were treated outside their canton of residence, and 7.57% were associated to acute cor pulmonale (ACP). Using the Cox regression model, being treated outside the canton of residence (HR 1.40, p< 0.05) and age≥ 60 years (HR 1.64, p< 0.05) reduced the overall survival. Contrasting, the absence of ACP improved the OS (HR 0.68, p< 0.05). Excluding patients aged≥ 60 years, and with ACP, being treated outside the canton of residence increased the risk of death by PE (HR 1.77, p< 0.05). However, this effect was non significative in patients≥ 60 years of age and with ACP (p> 0.05).

Año de publicación:

2021

Keywords:

Fuente:

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