Pulmonary Embolism is an Important Cause of Death in Young Adults

Background Population-based analysis shows that deaths from pulmonary embolism (PE) are increasing in the older age groups, but it is unclear to what degree PE contributes to death in different ages and gender. Methods and Results Potential contribution factors for all PE and for critical PE (in whi...

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Veröffentlicht in:Circulation Journal 2007, Vol.71(11), pp.1765-1770
Hauptverfasser: Sakuma, Masahito, Nakamura, Mashio, Takahashi, Tohru, Kitamukai, Osamu, Yazu, Takahiro, Yamada, Norikazu, Ota, Masahiro, Kobayashi, Takao, Nakano, Takeshi, Ito, Masaaki, Shirato, Kunio
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container_end_page 1770
container_issue 11
container_start_page 1765
container_title Circulation Journal
container_volume 71
creator Sakuma, Masahito
Nakamura, Mashio
Takahashi, Tohru
Kitamukai, Osamu
Yazu, Takahiro
Yamada, Norikazu
Ota, Masahiro
Kobayashi, Takao
Nakano, Takeshi
Ito, Masaaki
Shirato, Kunio
description Background Population-based analysis shows that deaths from pulmonary embolism (PE) are increasing in the older age groups, but it is unclear to what degree PE contributes to death in different ages and gender. Methods and Results Potential contribution factors for all PE and for critical PE (in which PE was the primary cause of death or the main diagnosis) were examined in 396,982 autopsy cases. For all PE, odds ratio (OR) in males was 0.61 (95% confidence interval (CI) 0.59-0.64, p
doi_str_mv 10.1253/circj.71.1765
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Methods and Results Potential contribution factors for all PE and for critical PE (in which PE was the primary cause of death or the main diagnosis) were examined in 396,982 autopsy cases. For all PE, odds ratio (OR) in males was 0.61 (95% confidence interval (CI) 0.59-0.64, p&lt;0.0001), compared with that in females. ORs were 1.10 (95% CI 1.05-1.14, p&lt;0.0001) in 1991-1994 and 1.19 (95% CI 1.14-1.25, p&lt;0.0001) in 1995-1998, compared with those in 1987-1990. ORs for ages 0-9 and 40+ were significantly low compared with that for ages 20-39. For critical PE, similar results were obtained. Pregnancy and/or delivery were found in 38.5% in cases of critical PE in females aged 20-39. Conclusion Compared with other age groups, PE contributed more to deaths in those aged 20-39 years. In recent years, deaths from PE have been slightly but significantly increasing. The incidence of clinically diagnosed critical PE also has been increasing. 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Methods and Results Potential contribution factors for all PE and for critical PE (in which PE was the primary cause of death or the main diagnosis) were examined in 396,982 autopsy cases. For all PE, odds ratio (OR) in males was 0.61 (95% confidence interval (CI) 0.59-0.64, p&lt;0.0001), compared with that in females. ORs were 1.10 (95% CI 1.05-1.14, p&lt;0.0001) in 1991-1994 and 1.19 (95% CI 1.14-1.25, p&lt;0.0001) in 1995-1998, compared with those in 1987-1990. ORs for ages 0-9 and 40+ were significantly low compared with that for ages 20-39. For critical PE, similar results were obtained. Pregnancy and/or delivery were found in 38.5% in cases of critical PE in females aged 20-39. Conclusion Compared with other age groups, PE contributed more to deaths in those aged 20-39 years. In recent years, deaths from PE have been slightly but significantly increasing. The incidence of clinically diagnosed critical PE also has been increasing. (Circ J 2007; 71: 1765 - 1770)</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age Distribution</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cause of Death - trends</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Delivery</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pregnancy</subject><subject>Pulmonary embolism</subject><subject>Pulmonary Embolism - diagnosis</subject><subject>Pulmonary Embolism - mortality</subject><subject>Sex Factors</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkD1PwzAURS0EoqUwsiJPbCn-ih2PVVugUiUYYGCyHMduUyVxsZOBf0_aRpTlvSfdoyO9C8A9RlNMUvpkymB2U4GnWPD0AowxZSJhGUGXx5snMmN0BG5i3CFEJErlNRhhIXnKpByD2XtX1b7R4Qcu69xXZaxhGaFu4Kre-9DqpoVz3UULvYMLq9stLBv45btmA2dFV7XxFlw5XUV7N-wJ-Hxefsxfk_Xby2o-WyeGE94mGOeWIMMkLUTOikzoNDOOI4eLTDLeJxrltMgtNiwnTlJntLBpRgpHnE0ZnYDHk3cf_HdnY6vqMhpbVbqxvouKZ4z1Ht6DyQk0wccYrFP7UNb9hwojdehMHTtTAqtDZz3_MIi7vLbFmR5K6oHFCdjFVm_sH6BDW5rK_tPhYR6853irg7IN_QWRtYCR</recordid><startdate>2007</startdate><enddate>2007</enddate><creator>Sakuma, Masahito</creator><creator>Nakamura, Mashio</creator><creator>Takahashi, Tohru</creator><creator>Kitamukai, Osamu</creator><creator>Yazu, Takahiro</creator><creator>Yamada, Norikazu</creator><creator>Ota, Masahiro</creator><creator>Kobayashi, Takao</creator><creator>Nakano, Takeshi</creator><creator>Ito, Masaaki</creator><creator>Shirato, Kunio</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2007</creationdate><title>Pulmonary Embolism is an Important Cause of Death in Young Adults</title><author>Sakuma, Masahito ; Nakamura, Mashio ; Takahashi, Tohru ; Kitamukai, Osamu ; Yazu, Takahiro ; Yamada, Norikazu ; Ota, Masahiro ; Kobayashi, Takao ; Nakano, Takeshi ; Ito, Masaaki ; Shirato, Kunio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c626t-11be20c493d7b4d87a58cf60f1d89460c4a0b3dbe1c4b2f93fca7e582df2fe543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age Distribution</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cause of Death - trends</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Delivery</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pregnancy</topic><topic>Pulmonary embolism</topic><topic>Pulmonary Embolism - diagnosis</topic><topic>Pulmonary Embolism - mortality</topic><topic>Sex Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sakuma, Masahito</creatorcontrib><creatorcontrib>Nakamura, Mashio</creatorcontrib><creatorcontrib>Takahashi, Tohru</creatorcontrib><creatorcontrib>Kitamukai, Osamu</creatorcontrib><creatorcontrib>Yazu, Takahiro</creatorcontrib><creatorcontrib>Yamada, Norikazu</creatorcontrib><creatorcontrib>Ota, Masahiro</creatorcontrib><creatorcontrib>Kobayashi, Takao</creatorcontrib><creatorcontrib>Nakano, Takeshi</creatorcontrib><creatorcontrib>Ito, Masaaki</creatorcontrib><creatorcontrib>Shirato, Kunio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sakuma, Masahito</au><au>Nakamura, Mashio</au><au>Takahashi, Tohru</au><au>Kitamukai, Osamu</au><au>Yazu, Takahiro</au><au>Yamada, Norikazu</au><au>Ota, Masahiro</au><au>Kobayashi, Takao</au><au>Nakano, Takeshi</au><au>Ito, Masaaki</au><au>Shirato, Kunio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pulmonary Embolism is an Important Cause of Death in Young Adults</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2007</date><risdate>2007</risdate><volume>71</volume><issue>11</issue><spage>1765</spage><epage>1770</epage><pages>1765-1770</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background Population-based analysis shows that deaths from pulmonary embolism (PE) are increasing in the older age groups, but it is unclear to what degree PE contributes to death in different ages and gender. Methods and Results Potential contribution factors for all PE and for critical PE (in which PE was the primary cause of death or the main diagnosis) were examined in 396,982 autopsy cases. For all PE, odds ratio (OR) in males was 0.61 (95% confidence interval (CI) 0.59-0.64, p&lt;0.0001), compared with that in females. ORs were 1.10 (95% CI 1.05-1.14, p&lt;0.0001) in 1991-1994 and 1.19 (95% CI 1.14-1.25, p&lt;0.0001) in 1995-1998, compared with those in 1987-1990. ORs for ages 0-9 and 40+ were significantly low compared with that for ages 20-39. For critical PE, similar results were obtained. Pregnancy and/or delivery were found in 38.5% in cases of critical PE in females aged 20-39. Conclusion Compared with other age groups, PE contributed more to deaths in those aged 20-39 years. In recent years, deaths from PE have been slightly but significantly increasing. The incidence of clinically diagnosed critical PE also has been increasing. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese
subjects Adolescent
Adult
Age
Age Distribution
Age Factors
Aged
Aged, 80 and over
Cause of Death - trends
Child
Child, Preschool
Delivery
Female
Humans
Incidence
Infant
Infant, Newborn
Japan - epidemiology
Male
Middle Aged
Pregnancy
Pulmonary embolism
Pulmonary Embolism - diagnosis
Pulmonary Embolism - mortality
Sex Factors
title Pulmonary Embolism is an Important Cause of Death in Young Adults
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