Predictors of mortality following symptomatic pulmonary embolism in patients undergoing noncardiac surgery: (Les indicateurs de mortalite a la suite d'embolies pulmonaires symptomatiques chez des patients subissant une chirurgie non cardiaque).

摘要

PURPOSE: To determine 30-day mortality and predictors of mortality following perioperative pulmonary embolism (PE). METHODS: We searched both the Mayo Clinic electronic medical records and Autopsy Registry, between January 1, 1998 and December 31, 2001, for patients who developed PE within 30 days after noncardiac surgery performed under general or neuraxial anesthesia. Medical records of all identified patients were reviewed using standardized data collection forms. The association between risk factors for PE and 30-day post-PE mortality was assessed using t tests, exact binomial tests, and logistic regression. RESULTS: We identified 158 patients with probable or definite perioperative PE. The overall 30-day mortality from the day of PE was 25.3%, i.e., 40 patients died. Hypotension requiring treatment, need for mechanical ventilation, and intensive care unit admission were the prominent univariate predictors of 30-day mortality (all P