title: [Diagnosis of thromboembolism of the pulmonary artery branches according to autopsy data in Tomsk hospitals in 2003-2007].
abstract: OBJECTIVE
  To study the frequency and structure of new cases of thromboembolism of the pulmonary artery branches among those who died at Tomsk hospitals in 2003 to 2007.
  
  
  METHODS
  The autopsy protocols and case histories of all patients (n = 442) with the lifetime and/or postmortem diagnosis of pulmonary thromboembolism (PTE) who had died at Tomsk hospitals on January 1, 2003 to December 31, 2007 were analyzed. A systemic postmortem study applied the complete organ evacuation method (complete evisceration after Shore). The variance analysis was employed to calculate variability in all values; the correlation analysis was used to estimate statistical correlations.
  
  
  RESULTS
  Out of the 442 patients, 217 (50.9%) patients had thromboembolism as being a direct cause of death and it worsened the course of the underlying disease in 225 (49.1%) patients. According to the number of dead patients with PTE, therapeutic (60.6%), surgical (26.6%), and cancer (9.1%) ones ranked first, second, and third, respectively. In addition to the most common inferior vena cava thrombosis (65.1%), right cardiac thrombosis was the main source of PTE in 25.6% of cases.
  
  
  CONCLUSIONS
  The detected specific features of the occurrence of new cases of PTE at Tomsk hospitals in 2003-2007 may become the basis for planning measures by health administrators to improve the diagnosis of PTE and to improve medical and preventive care to patients with this condition in therapeutic-and-prophylactic institutions.
authors.forename: Ia S
authors.initials: IaS
authors.lastname: Vasil'tsev
authors.forename: S Ia
authors.initials: SIa
authors.lastname: Vasil'tseva
authors.forename: I N
authors.initials: IN
authors.lastname: Vorozhtsova
authors.forename: V F
authors.initials: VF
authors.lastname: Drozdov
authors.forename: A V
authors.initials: AV
authors.lastname: Krestinin
authors.forename: R S
authors.initials: RS
authors.lastname: Karpov
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001344:Autopsy; D002423:Cause of Death; D002947:Cities; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006773:Hospitals, Municipal / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000473:pathology*; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000401:mortality / Q000473:pathology; D012189:Retrospective Studies; D012737:Sex Factors; D012800:Siberia / Q000453:epidemiology; D055815:Young Adult