Frecuencia de tromboembolia pulmonar y aplicación de exámenes complementarios. Hospital Vicente Corral Moscoso. Cuenca, 2019

Abstract

Background: pulmonary embolism (PE) is considered like a cardiovascular urgency, with high mortality in hospitalized patients. Patients who survive, develop disabilities from the chronic pulmonary hypertension that lead to dead. General objective: determinate the frequency of Pulmonary embolism and the application of complementary tests in the “Vicente Corral Moscoso Hospital” in the year 2019. Methodology: this is a cross-sectional descriptive observational study carried out in 2019 at the Vicente Corral Moscoso Hospital. All medical records of patients in whom Angiotomography (CT angiography) was request due to suspected PE were included. On the other hand, medical records whose requests were made for other pathologies were excluded. For data collection, we used a form, which included clinical probability scales, as well as the complementary tests. The information was analyzed and interpreted with the SPSS 15.0 version, using frequency distribution, central tendency measures (mean) and dispersion (standard deviation). Results: it was found that, from 75 patients who underwent CT Angiography for suspected PE, 12% had a positive diagnosis, with an age average of 61.88 years, the most being women. While 55.55% of patients with PE had a high probability according to the Wells scale. Ultimately, all patients showed a high D-dimer. Conclusions: most patients had a negative diagnosis after the CT Angiography realization, demonstrating that the PE prevalence is low in our environment.