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- Title
Pulmoner Tromboembolide Plevral Efüzyon Sıklığı ve Efüzyonla İlişkili Faktörlerin Belirlenmesi: Retrospektif Kesitsel Çalışma.
- Authors
UYAR ER, Kübra; ÖZYURT, Songül; ÖZÇELİK, Neslihan; YILMAZ KARA, Bilge; HACIFAZLIOĞLU, Zeynep; GÜMÜŞ, Aziz; ŞAHİN, Ünal
- Abstract
Objective: Pulmonary thromboembolism (PTE); it is the fourth most common cause of pleural effusions after congestive heart failure, parapneumonic effusions and malignancy. PTE is also considered to be a leading cause of undiagnosed pleural effusion. The aim of this study was to determine the frequency of pleural effusion in PTE and to determine and compare the clinical characteristics of patients with and without pleural effusion. Material and Methods: Patients who were admitted and treated at the thoracic service with a diagnosis of pulmonary embolism between January 2016 and December 2021 were included in the study. The data of the patients were examined retrospectively, and hospital mortality and 1-month mortality data were recorded. Thorax computed tomographies were examined for pleural effusion. Massive pleural effusions and pleural effusions due to pneumonia, malignancy and congestive heart failure were excluded from the study. Data were recorded and analysed using the SPSS package, and a p value <0.05 was considered significant. Results: Of the 525 patients with an average age of 70±15 (18-99), 315 (60%) were women. Pleural effusion was detected in 113 (22%) cases. The ages of patients with pleural effusion were significantly higher than those without pleural effusion (p<0.001). While the median systolic pulmonary artery pressures was 40 mmHg in the group with pleural effusion, it was 36 mmHg in the group without effusion (p=0.030). Thirty-day mortality was higher in the effusion group, but not statistically significant (p=0.051). Conclusion: According to our study results, the rate of pleural effusion in PTE cases was found to be as high as 22%. As expected, blood pressures were lower and hypoxemia was more pronounced in these patients with more pulmonary artery obstruction. Additionally, as age increases in PTE cases, the likelihood of developing pleural effusion increases.
- Subjects
PULMONARY embolism; PLEURAL effusions; CROSS-sectional method; RETROSPECTIVE studies; HOSPITAL mortality; DESCRIPTIVE statistics; DATA analysis software; SYMPTOMS
- Publication
Turkiye Klinikleri Archives of Lung, 2023, Vol 22, Issue 3, p58
- ISSN
1309-0119
- Publication type
Article
- DOI
10.5336/archlung.2023-99751