کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3027676 1182986 2010 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Prevalence and Clinical History of Incidental, Asymptomatic Pulmonary Embolism: A Meta-Analysis
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Prevalence and Clinical History of Incidental, Asymptomatic Pulmonary Embolism: A Meta-Analysis
چکیده انگلیسی

ContextRecently, there has been an increasing number of reports of incidental pulmonary embolism (PE) in patients undergoing chest computer tomography (CT) for reasons other than the research of suspected PE. Natural history of incidental PE remains unclear.ObjectivesTo estimate the prevalence of incidental PE, to assess potential factors associated with incidental PE, and to evaluated its clinical history.Data SourcesMEDLINE, EMBASE databases (up to January 2009).Study SelectionStudies were included if the prevalence of incidental PE was assessed using CT scanning.Data ExtractionThe prevalence of incidental PE in these patients was documented. Separate data for inpatients and outpatients and according to the reason for CT scanning were collected. Weighted mean proportion of the prevalence of incidental PE was calculated. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to test the association with potential predictors of incidental PE.ResultsTwelve studies for a total of more than 10 thousand patients were included. The weighted mean prevalence of incidental PE was 2.6% (95% CI 1.9, 3.4). Hospitalization at the time of CT scanning and the presence of cancer were associated with a significantly increased risk of incidental PE (OR 4.27 and OR 1.80 respectively).ConclusionsThe prevalence of incidental PE is clinically relevant. Future studies are necessary to properly evaluate the clinical history of these patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Thrombosis Research - Volume 125, Issue 6, June 2010, Pages 518–522
نویسندگان
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