Autopsy proven pulmonary embolism in hospital patients: are we detecting enough deep vein thrombosis?
To investigate the present status of pulmonary embolism as a cause of death in a general hospital patient population, a 5-year retrospective study of all autopsy reports and associated hospital records was undertaken. Pulmonary embolism was thought to be the cause of death in 239 of 2388 autopsies performed (10%): 15% of these patients were aged less than 60 years and 68% did not have cancer. Of these patients, 83% had deep-vein thrombosis (DVT) in the legs at autopsy, of whom only 19% had symptoms of DVT before death. Only 3% of patients who had DVT at autopsy had undergone an investigation for such before death. Twenty-four per cent of patients who died from pulmonary embolism had undergone surgery a mean of 6.9 days before. Screening tests for DVT should be applied widely in the hospital population.
Sandler
D A
DA
Department of Medicine, Royal Hallamshire Hospital, Sheffield.
Martin
J F
JF
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D001344:Autopsy; D002642:Chick Embryo; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology / Q000401:mortality* / Q000473:pathology; D012189:Retrospective Studies; D013924:Thrombophlebitis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology