Clinical value of early diagnosis in elderly patients with pulmonary embolism

YIN Jianhua; ZHU Jianwei; GU Lichao; ZHONG Yafei; YANG Yao; JIANG Nan; YANG Lijun

doi:10.7619/jcmp.201917029

Journal of Clinical Medicine in Practice > 2019 > 23(17): 103-106. > DOI: 10.7619/jcmp.201917029

YIN Jianhua, ZHU Jianwei, GU Lichao, ZHONG Yafei, YANG Yao, JIANG Nan, YANG Lijun. Clinical value of early diagnosis in elderly patients with pulmonary embolism[J]. Journal of Clinical Medicine in Practice, 2019, 23(17): 103-106. DOI: 10.7619/jcmp.201917029

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Clinical value of early diagnosis in elderly patients with pulmonary embolism

1.
Department of Internal Medicine, Dachang Hui Autonomous County People′s Hospital in Hebei Province, Langfang, Hebei, 065300
2.
Anesthesiology Department, Dachang Hui Autonomous County People′s Hospital in Hebei Province, Langfang, Hebei, 065300

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Received Date: June 14, 2019
Accepted Date: August 14, 2019
Available Online: February 28, 2021
Published Date: September 14, 2019

Graphical Abstract

Abstract

Abstract

Objective To investigate the clinical value of early diagnosis in elderly patients with pulmonary embolism.
Methods A total of 115 elderly patients with pulmonary embolism who were examined in our hospital were selected as group A, and another 115 non-elderly patients with pulmonary embolism who were examined at the same period were selected as group B. Among them, there were 56 males and 59 females in group A, aged 60 years and above, 57 males and 58 females in group B, aged below 60 years.
Results There was no significant difference in the ratio of male to female in group A(48.70%vs. 51.30%) and group B(49.57%vs. 50.43%) (P>0.05). The age, mortality within 30 days, mortality after 30 days, and rate of thrombolytic therapy were (74.31±1.23) years, 21.74%, 42.61%, 9.57%, respectively, in group A, which were significantly higher than (50.38±1.08) years, 10.43%, 13.91%and 3.49%, respectively, in the group B(P < 0.05). There was no significant difference in the incidence of complicating with tumors between group A (11.30%) and group B (12.17%) (P>0.05). The incidences of arrhythmia, pneumonia, cardiac insufficiency, chronic obstructive pulmonary disease, renal insufficiency, hypertension, hypoproteinemia, diabetes and hyperlipidemiain were 31.30%, 33.91%, 36.52%, 26.96%, 37.39%, 65.21%, 18.26%, 32.17%, 16.52%, respectively, in the group A, which were higher than 17.39%, 1.74%, 5.22%, 1.74%, 0.87%, 27.83%, 1.74%, 5.22%, 2.61%, respectively, in group B(P < 0.05)The blood pressure, pulse wave, cardiac troponin I and serum uric acid in group A were significantly higher, and arterial oxygen saturation was significantly lower than that in the control group (P < 0.05). The levels of D-dimer, and serum albumin were (5.89±1.23) mg/L, (24.13±0.23) g/L, respectively, in group A, and were (4.03±0.41) mg/L and (24.09±0.01) g/L, respectively, in group B, which showed no significant differences between two groups.
Conclusion Early diagnosis is of high clinical value for elderly patients with pulmonary embolism. The high-risk indicators of early diagnosis can be reference for timely treatment.
- early diagnosis,
- the elderly,
- pulmonary embolism,
- clinical treatment,
- cardiac troponin I,
- serum uric acid

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References

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