Pulmonary Embolism Mortality Associated with the Necessity of Being Hospitalized Outside the Canton of Residence in Ecuador
David Garrido 1 * , Esteban Visarrea 2, Juan Benalcazar 3
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1 Hematology Department, Hospital de Clínicas Manuel Quintela, Universidad de la República, URUGUAY2 Facultad de Medicina, Universidad Central del Ecuador. Quito, ECUADOR3 Hospital de Especialidades de las Fuerzas Armadas N°1, Angiology and Vascular Surgery Service, Quito, ECUADOR* Corresponding Author

Abstract

Introduction: Pulmonary embolism (PE) is a common cause of cardiovascular death, with hospital mortality rates in South America around 14%. However, there is limited information regarding Ecuador.
Objectives: To present a survival analysis of Ecuadorian patients affected by PE.
Methods: We performed a survival analysis study based on the retrospective review of the hospital discharges by PE in Ecuador from 2011 to 2018 through the Ecuadorian National Statistics and Census Institute databases.
Results: We found 2974 cases of PE. From them, 505 (16.98%) patients deceased, 59.72% were females, 64.79% had an age ≥60 years with an average of 65.04 years, 19.80% were treated outside their canton of residence, and 7.57% were associated to acute cor pulmonale (ACP).
Using the Cox regression model, being treated outside the canton of residence (HR 1.40, p<0.05) and age ≥60 years (HR 1.64, p<0.05) reduced the overall survival. Contrasting, the absence of ACP improved the OS (HR 0.68, p<0.05).
Excluding patients aged ≥60 years, and with ACP, being treated outside the canton of residence increased the risk of death by PE (HR 1.77, p<0.05). However, this effect was non significative in patients ≥60 years of age and with ACP (p>0.05).
Conclusion: Patients treated by PE outside their canton of residence had an increased risk of mortality during the in-hospital stay, especially those younger than 60 years without ACP.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Short Communication

ELECTRON J GEN MED, 2021, Volume 18, Issue 3, Article No: em294

https://doi.org/10.29333/ejgm/10860

Publication date: 27 Apr 2021

Article Views: 1173

Article Downloads: 1507

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