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Pulmonary Thromboembolism Developed During Hospitalization: A Nationwide Retrospective Observational Study Using Claims Data
Introduction Evidence regarding the development of pulmonary thromboembolism (PE) during hospitalization is unclear. We hypothesized that the incidence of PE could vary depending on clinical department and aimed to conduct a survey on the incidence of in-hospital PE. Methods We conducted a retrospec...
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| Published in: | Cardiology and Therapy 2023-03, Vol.12 (1), p.127-141 |
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| container_title | Cardiology and Therapy |
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| creator | Imura, Miki Yamamoto, Tsunehisa Hiasa, Ken-Ichi |
| description | Introduction
Evidence regarding the development of pulmonary thromboembolism (PE) during hospitalization is unclear. We hypothesized that the incidence of PE could vary depending on clinical department and aimed to conduct a survey on the incidence of in-hospital PE.
Methods
We conducted a retrospective analysis using claims data of in-hospital patients in Japan. We collected background information regarding patients with and without PE occurrence during hospitalization. Further, we determined the incidence of PE and implemented prophylactic procedures in patients with and without surgery according to clinical department at admission. Finally, we examined the duration of hospital stay and in-hospital mortality rates in patients with and without PE.
Results
We found that 5007 (0.107%, 20.61 per 1000 person-years) patients developed PE during hospitalization and differed by clinical department at admission. Moreover, 2272 (0.095%, 19.3 per 1000 person-years) and 2735 (0.119%, 21.8 per 1000 person-years) patients with and without surgery, respectively, developed PE during hospitalization (
P
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| doi_str_mv | 10.1007/s40119-022-00290-6 |
| format | article |
| fullrecord | <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_629774112c4d437d8241d2ad2e4bb2b4</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A739750017</galeid><doaj_id>oai_doaj_org_article_629774112c4d437d8241d2ad2e4bb2b4</doaj_id><sourcerecordid>A739750017</sourcerecordid><originalsourceid>FETCH-LOGICAL-c579t-f6bc13e9096c8e6c44619690bf2dd8887dbca261b1a2eb28b4b9153c54d799bc3</originalsourceid><addsrcrecordid>eNp9kl1rFDEUhgdRbKn9A17IgDfeTM3XJBMvhLKrtlCsaHsd8nFmmzIzWZOZlYo_3uzOWlwQCSGHk_c8nMN5i-IlRmcYIfE2MYSxrBAhFUJEooo_KY4JlrTiNWNP93FDOD4qTlPyBjEmKKk5el4cUc4aghk-Ln59mbo-DDo-lDd3MfQmQL6dT325hA10YQ2uXE7RD6vyIqS1H3Xnf-rRh-FdeV5-3kU_vIPyK4wxC8COfgPltUkQN7tf3ZXfxsk9lLdpS1l02vepXOpRvyietbpLcLp_T4rbjx9uFhfV1fWny8X5VWVrIceq5cZiChJJbhvgljGOJZfItMS5pmmEM1bnQQ3WBAxpDDMS19TWzAkpjaUnxeXMdUHfq3X0fZ5XBe3VLhHiSuk4etuB4kQKwTAmljlGhWsIw45oR4AZQwzLrPczaz2ZHpyFYYy6O4Ae_gz-Tq3CRklBGW9wBrzZA2L4PkEaVe-Tha7TA4QpKSJqSjFGVGbp61m60rk1P7QhE-1Wrs4FlaJGCIusOvuHKh8HvbdhgNbn_EEBmQtsXliK0D52j5HamkvN5lLZXGpnLsVz0au_534s-WOlLKCzIK23boGo7sMU8_bT_7C_AcYl24A</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2753311039</pqid></control><display><type>article</type><title>Pulmonary Thromboembolism Developed During Hospitalization: A Nationwide Retrospective Observational Study Using Claims Data</title><source>Springer Nature - SpringerLink Journals - Fully Open Access </source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Imura, Miki ; Yamamoto, Tsunehisa ; Hiasa, Ken-Ichi</creator><creatorcontrib>Imura, Miki ; Yamamoto, Tsunehisa ; Hiasa, Ken-Ichi</creatorcontrib><description>Introduction
Evidence regarding the development of pulmonary thromboembolism (PE) during hospitalization is unclear. We hypothesized that the incidence of PE could vary depending on clinical department and aimed to conduct a survey on the incidence of in-hospital PE.
Methods
We conducted a retrospective analysis using claims data of in-hospital patients in Japan. We collected background information regarding patients with and without PE occurrence during hospitalization. Further, we determined the incidence of PE and implemented prophylactic procedures in patients with and without surgery according to clinical department at admission. Finally, we examined the duration of hospital stay and in-hospital mortality rates in patients with and without PE.
Results
We found that 5007 (0.107%, 20.61 per 1000 person-years) patients developed PE during hospitalization and differed by clinical department at admission. Moreover, 2272 (0.095%, 19.3 per 1000 person-years) and 2735 (0.119%, 21.8 per 1000 person-years) patients with and without surgery, respectively, developed PE during hospitalization (
P
< 0.001). Further, 33.8% of inpatients underwent prophylactic procedures for PE; however, the implementation rate differed between patients with and without surgery (59.2% vs. 7.3%,
P
< 0.001). The median duration of hospital stay in patients with and without PE was 31.0 and 11.0 days, and the in-hospital mortality rates in patients with and without PE were 11.0% and 3.5%, respectively (
P
< 0.001).
Discussion
The incidence of in-hospital PE differed according to patient characteristics, clinical departments, and presence/absence of surgery. The onset of PE during hospitalization leads to prolonged hospital stay and in-hospital death.
Conclusion
It is important to conduct a proper risk assessment on admission as well as to implement proper prophylactic procedures to prevent the development of PE during hospitalization.</description><identifier>ISSN: 2193-8261</identifier><identifier>EISSN: 2193-6544</identifier><identifier>DOI: 10.1007/s40119-022-00290-6</identifier><identifier>PMID: 36482141</identifier><language>eng</language><publisher>Cheshire: Springer Healthcare</publisher><subject>Cardiology ; Deep vein thrombosis ; Hospital patients ; Iatrogenic diseases ; In-hospital mortality ; Inpatients ; Internal Medicine ; Medicine ; Medicine & Public Health ; Original Research ; Pulmonary embolism ; Risk factors ; Statistics ; Venous thromboembolism</subject><ispartof>Cardiology and Therapy, 2023-03, Vol.12 (1), p.127-141</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>COPYRIGHT 2023 Springer</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c579t-f6bc13e9096c8e6c44619690bf2dd8887dbca261b1a2eb28b4b9153c54d799bc3</citedby><cites>FETCH-LOGICAL-c579t-f6bc13e9096c8e6c44619690bf2dd8887dbca261b1a2eb28b4b9153c54d799bc3</cites><orcidid>0000-0003-0813-4428 ; 0000-0002-5241-9482 ; 0000-0002-7995-5250</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9734681/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9734681/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36482141$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Imura, Miki</creatorcontrib><creatorcontrib>Yamamoto, Tsunehisa</creatorcontrib><creatorcontrib>Hiasa, Ken-Ichi</creatorcontrib><title>Pulmonary Thromboembolism Developed During Hospitalization: A Nationwide Retrospective Observational Study Using Claims Data</title><title>Cardiology and Therapy</title><addtitle>Cardiol Ther</addtitle><addtitle>Cardiol Ther</addtitle><description>Introduction
Evidence regarding the development of pulmonary thromboembolism (PE) during hospitalization is unclear. We hypothesized that the incidence of PE could vary depending on clinical department and aimed to conduct a survey on the incidence of in-hospital PE.
Methods
We conducted a retrospective analysis using claims data of in-hospital patients in Japan. We collected background information regarding patients with and without PE occurrence during hospitalization. Further, we determined the incidence of PE and implemented prophylactic procedures in patients with and without surgery according to clinical department at admission. Finally, we examined the duration of hospital stay and in-hospital mortality rates in patients with and without PE.
Results
We found that 5007 (0.107%, 20.61 per 1000 person-years) patients developed PE during hospitalization and differed by clinical department at admission. Moreover, 2272 (0.095%, 19.3 per 1000 person-years) and 2735 (0.119%, 21.8 per 1000 person-years) patients with and without surgery, respectively, developed PE during hospitalization (
P
< 0.001). Further, 33.8% of inpatients underwent prophylactic procedures for PE; however, the implementation rate differed between patients with and without surgery (59.2% vs. 7.3%,
P
< 0.001). The median duration of hospital stay in patients with and without PE was 31.0 and 11.0 days, and the in-hospital mortality rates in patients with and without PE were 11.0% and 3.5%, respectively (
P
< 0.001).
Discussion
The incidence of in-hospital PE differed according to patient characteristics, clinical departments, and presence/absence of surgery. The onset of PE during hospitalization leads to prolonged hospital stay and in-hospital death.
Conclusion
It is important to conduct a proper risk assessment on admission as well as to implement proper prophylactic procedures to prevent the development of PE during hospitalization.</description><subject>Cardiology</subject><subject>Deep vein thrombosis</subject><subject>Hospital patients</subject><subject>Iatrogenic diseases</subject><subject>In-hospital mortality</subject><subject>Inpatients</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Research</subject><subject>Pulmonary embolism</subject><subject>Risk factors</subject><subject>Statistics</subject><subject>Venous thromboembolism</subject><issn>2193-8261</issn><issn>2193-6544</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9kl1rFDEUhgdRbKn9A17IgDfeTM3XJBMvhLKrtlCsaHsd8nFmmzIzWZOZlYo_3uzOWlwQCSGHk_c8nMN5i-IlRmcYIfE2MYSxrBAhFUJEooo_KY4JlrTiNWNP93FDOD4qTlPyBjEmKKk5el4cUc4aghk-Ln59mbo-DDo-lDd3MfQmQL6dT325hA10YQ2uXE7RD6vyIqS1H3Xnf-rRh-FdeV5-3kU_vIPyK4wxC8COfgPltUkQN7tf3ZXfxsk9lLdpS1l02vepXOpRvyietbpLcLp_T4rbjx9uFhfV1fWny8X5VWVrIceq5cZiChJJbhvgljGOJZfItMS5pmmEM1bnQQ3WBAxpDDMS19TWzAkpjaUnxeXMdUHfq3X0fZ5XBe3VLhHiSuk4etuB4kQKwTAmljlGhWsIw45oR4AZQwzLrPczaz2ZHpyFYYy6O4Ae_gz-Tq3CRklBGW9wBrzZA2L4PkEaVe-Tha7TA4QpKSJqSjFGVGbp61m60rk1P7QhE-1Wrs4FlaJGCIusOvuHKh8HvbdhgNbn_EEBmQtsXliK0D52j5HamkvN5lLZXGpnLsVz0au_534s-WOlLKCzIK23boGo7sMU8_bT_7C_AcYl24A</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Imura, Miki</creator><creator>Yamamoto, Tsunehisa</creator><creator>Hiasa, Ken-Ichi</creator><general>Springer Healthcare</general><general>Springer</general><general>Adis, Springer Healthcare</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-0813-4428</orcidid><orcidid>https://orcid.org/0000-0002-5241-9482</orcidid><orcidid>https://orcid.org/0000-0002-7995-5250</orcidid></search><sort><creationdate>20230301</creationdate><title>Pulmonary Thromboembolism Developed During Hospitalization: A Nationwide Retrospective Observational Study Using Claims Data</title><author>Imura, Miki ; Yamamoto, Tsunehisa ; Hiasa, Ken-Ichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c579t-f6bc13e9096c8e6c44619690bf2dd8887dbca261b1a2eb28b4b9153c54d799bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cardiology</topic><topic>Deep vein thrombosis</topic><topic>Hospital patients</topic><topic>Iatrogenic diseases</topic><topic>In-hospital mortality</topic><topic>Inpatients</topic><topic>Internal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Research</topic><topic>Pulmonary embolism</topic><topic>Risk factors</topic><topic>Statistics</topic><topic>Venous thromboembolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Imura, Miki</creatorcontrib><creatorcontrib>Yamamoto, Tsunehisa</creatorcontrib><creatorcontrib>Hiasa, Ken-Ichi</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Cardiology and Therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Imura, Miki</au><au>Yamamoto, Tsunehisa</au><au>Hiasa, Ken-Ichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pulmonary Thromboembolism Developed During Hospitalization: A Nationwide Retrospective Observational Study Using Claims Data</atitle><jtitle>Cardiology and Therapy</jtitle><stitle>Cardiol Ther</stitle><addtitle>Cardiol Ther</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>12</volume><issue>1</issue><spage>127</spage><epage>141</epage><pages>127-141</pages><issn>2193-8261</issn><eissn>2193-6544</eissn><abstract>Introduction
Evidence regarding the development of pulmonary thromboembolism (PE) during hospitalization is unclear. We hypothesized that the incidence of PE could vary depending on clinical department and aimed to conduct a survey on the incidence of in-hospital PE.
Methods
We conducted a retrospective analysis using claims data of in-hospital patients in Japan. We collected background information regarding patients with and without PE occurrence during hospitalization. Further, we determined the incidence of PE and implemented prophylactic procedures in patients with and without surgery according to clinical department at admission. Finally, we examined the duration of hospital stay and in-hospital mortality rates in patients with and without PE.
Results
We found that 5007 (0.107%, 20.61 per 1000 person-years) patients developed PE during hospitalization and differed by clinical department at admission. Moreover, 2272 (0.095%, 19.3 per 1000 person-years) and 2735 (0.119%, 21.8 per 1000 person-years) patients with and without surgery, respectively, developed PE during hospitalization (
P
< 0.001). Further, 33.8% of inpatients underwent prophylactic procedures for PE; however, the implementation rate differed between patients with and without surgery (59.2% vs. 7.3%,
P
< 0.001). The median duration of hospital stay in patients with and without PE was 31.0 and 11.0 days, and the in-hospital mortality rates in patients with and without PE were 11.0% and 3.5%, respectively (
P
< 0.001).
Discussion
The incidence of in-hospital PE differed according to patient characteristics, clinical departments, and presence/absence of surgery. The onset of PE during hospitalization leads to prolonged hospital stay and in-hospital death.
Conclusion
It is important to conduct a proper risk assessment on admission as well as to implement proper prophylactic procedures to prevent the development of PE during hospitalization.</abstract><cop>Cheshire</cop><pub>Springer Healthcare</pub><pmid>36482141</pmid><doi>10.1007/s40119-022-00290-6</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0003-0813-4428</orcidid><orcidid>https://orcid.org/0000-0002-5241-9482</orcidid><orcidid>https://orcid.org/0000-0002-7995-5250</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Cardiology Deep vein thrombosis Hospital patients Iatrogenic diseases In-hospital mortality Inpatients Internal Medicine Medicine Medicine & Public Health Original Research Pulmonary embolism Risk factors Statistics Venous thromboembolism |
| title | Pulmonary Thromboembolism Developed During Hospitalization: A Nationwide Retrospective Observational Study Using Claims Data |
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