• Ir J Med Sci · Apr 2004

    Risk factors for pulmonary embolism in an Irish patient cohort.

    • S Timmons, R Liston, and H Kelly.
    • South Munster Geriatric Training Scheme, Tralee General Hospital, Co Kerry, Ireland. timmonss@shb.ie
    • Ir J Med Sci. 2004 Apr 1; 173 (2): 858885-8.

    IntroductionThe prevention of pulmonary embolism (PE) is an important component of medical care.AimTo examine the risk factors for venous thromboembolism in an Irish patient cohort with acute PE, and identify cases that may have been preventable.MethodsRetrospective review of 60 consecutive cases of computed tomography (CT)-confirmed acute PE.ResultsThe primary thromboembolic risk factors were elective surgery (27%), medical illness (20%), primary immobility (13%) and isolated distal lower limb fracture (7%). A significant proportion (43%) had been hospitalised within the six weeks prior to PE onset. Some patients had undergone 'low risk' procedures, without prophylaxis, but had other significant thromboembolic risk factors that indicated a requirement for prophylaxis.ConclusionsHospital- and ward-based thromboprophylaxis guidelines, based on certain categories of patient or procedure, need to be routinely supplemented by an individual risk factor assessment for each patient, to determine those at particularly high risk for venous thromboembolism.

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