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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, Volume 18, Issue 3, June 2021, Article No: em294
https://doi.org/10.29333/ejgm/10860
Publication date: 27 Apr 2021
Article Views: 1356
Article Downloads: 1721
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