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Changing Trends in Hospital Admissions for Pulmonary Embolism in Spain from 2001 to 2018
(1) Background: The aims of this study were to examine trends in the incidence, clinical characteristics, and in-hospital outcomes of patients hospitalized with pulmonary embolism in Spain and to identify factors associated with in-hospital mortality (IHM). (2) Methods: We included all patients who...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7599502/ https://www.ncbi.nlm.nih.gov/pubmed/33036474 http://dx.doi.org/10.3390/jcm9103221 |
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author | de Miguel-Diez, Javier Albaladejo-Vicente, Romana Lopez-de-Andres, Ana Hernández-Barrera, Valentín Jiménez, David Monreal, Manuel Carabantes-Alarcon, David Zamorano-Leon, José Javier Jimenez-Garcia, Rodrigo |
author_facet | de Miguel-Diez, Javier Albaladejo-Vicente, Romana Lopez-de-Andres, Ana Hernández-Barrera, Valentín Jiménez, David Monreal, Manuel Carabantes-Alarcon, David Zamorano-Leon, José Javier Jimenez-Garcia, Rodrigo |
author_sort | de Miguel-Diez, Javier |
collection | PubMed |
description | (1) Background: The aims of this study were to examine trends in the incidence, clinical characteristics, and in-hospital outcomes of patients hospitalized with pulmonary embolism in Spain and to identify factors associated with in-hospital mortality (IHM). (2) Methods: We included all patients who were hospitalized for pulmonary embolism between 2001 and 2018. Data were collected from the Spanish National Hospital Discharge Database. (3) Results: We identified 241,821 hospitalizations for pulmonary embolism during the study period. The incidence of pulmonary embolism increased from 20.49 cases per 100,000 inhabitants in the period 2001–2002 to 35.9 cases in the period 2017–2018 (p < 0.001). After controlling for possible confounders, there was a significant increase in the incidence over the study period (adjusted incidence rate ratio 1.53, 95% Confidence Interval I 1.51–1.56). The median length of hospital stay was 11 days in the period 2001–2002, decreasing to seven days in the period 2017–2018 (p < 0.001). For the total time period, the crude IHM rate was 9.51%. After multivariable adjustment, IHM decreased significantly over time. The IHM was significantly higher in women, in patients suffering from more comorbidities, and in those with a massive pulmonary embolism. (4) Conclusions: Our results revealed an increase in the incidence of pulmonary embolism hospitalizations from 2001 to 2018 in Spain, with older patients being the most affected. |
format | Online Article Text |
id | pubmed-7599502 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-75995022020-11-01 Changing Trends in Hospital Admissions for Pulmonary Embolism in Spain from 2001 to 2018 de Miguel-Diez, Javier Albaladejo-Vicente, Romana Lopez-de-Andres, Ana Hernández-Barrera, Valentín Jiménez, David Monreal, Manuel Carabantes-Alarcon, David Zamorano-Leon, José Javier Jimenez-Garcia, Rodrigo J Clin Med Article (1) Background: The aims of this study were to examine trends in the incidence, clinical characteristics, and in-hospital outcomes of patients hospitalized with pulmonary embolism in Spain and to identify factors associated with in-hospital mortality (IHM). (2) Methods: We included all patients who were hospitalized for pulmonary embolism between 2001 and 2018. Data were collected from the Spanish National Hospital Discharge Database. (3) Results: We identified 241,821 hospitalizations for pulmonary embolism during the study period. The incidence of pulmonary embolism increased from 20.49 cases per 100,000 inhabitants in the period 2001–2002 to 35.9 cases in the period 2017–2018 (p < 0.001). After controlling for possible confounders, there was a significant increase in the incidence over the study period (adjusted incidence rate ratio 1.53, 95% Confidence Interval I 1.51–1.56). The median length of hospital stay was 11 days in the period 2001–2002, decreasing to seven days in the period 2017–2018 (p < 0.001). For the total time period, the crude IHM rate was 9.51%. After multivariable adjustment, IHM decreased significantly over time. The IHM was significantly higher in women, in patients suffering from more comorbidities, and in those with a massive pulmonary embolism. (4) Conclusions: Our results revealed an increase in the incidence of pulmonary embolism hospitalizations from 2001 to 2018 in Spain, with older patients being the most affected. MDPI 2020-10-07 /pmc/articles/PMC7599502/ /pubmed/33036474 http://dx.doi.org/10.3390/jcm9103221 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article de Miguel-Diez, Javier Albaladejo-Vicente, Romana Lopez-de-Andres, Ana Hernández-Barrera, Valentín Jiménez, David Monreal, Manuel Carabantes-Alarcon, David Zamorano-Leon, José Javier Jimenez-Garcia, Rodrigo Changing Trends in Hospital Admissions for Pulmonary Embolism in Spain from 2001 to 2018 |
title | Changing Trends in Hospital Admissions for Pulmonary Embolism in Spain from 2001 to 2018 |
title_full | Changing Trends in Hospital Admissions for Pulmonary Embolism in Spain from 2001 to 2018 |
title_fullStr | Changing Trends in Hospital Admissions for Pulmonary Embolism in Spain from 2001 to 2018 |
title_full_unstemmed | Changing Trends in Hospital Admissions for Pulmonary Embolism in Spain from 2001 to 2018 |
title_short | Changing Trends in Hospital Admissions for Pulmonary Embolism in Spain from 2001 to 2018 |
title_sort | changing trends in hospital admissions for pulmonary embolism in spain from 2001 to 2018 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7599502/ https://www.ncbi.nlm.nih.gov/pubmed/33036474 http://dx.doi.org/10.3390/jcm9103221 |
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