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Incidence and characteristics of perioperative pulmonary thromboembolism in Japan in 2004

机译：2004年日本围手术期肺血栓栓塞的发生率和特征

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BACKGROUND: The incidence of perioperative pulmonary thromboembolism (PTE) is reported not to be low in Japan. The aim of this study is to investigate the incidence and characteristics of perioperative PTE in Japan in 2004. METHODS: A questionnaire was mailed to 960 institutions registered as the teaching hospitals of the Japanese Society of Anesthesiologists (JSA). The survey details included age, sex, type of surgery, and risk factors of patients operated in 2004. RESULTS: Effective responses were received from 642 institutions (66.9%) of 960 institutions. A total of 409 cases of perioperative PTE were reported from 245 institutions (25.5% of the institutions responded). The incidence of perioperative PTE was 3.62 per 10,000 cases. Cardiac arrest occurred at the onset in 65 cases (15.9%). Of the patients, 150 (36.7%) had malignancy; 142 (34.7%) were obese; and 121 (29.6%) were bed-ridden (> 4 days). In 273 cases (66.7%), the patients were over 60 years of age. PTE was found to be more frequent in females than in males (males, 147 cases; females, 259 cases). The types of surgery resulted in perioperative PTE with high frequency were "spinal surgery" (6.95 per 10,000 cases) and "limbs and/or hip joint surgery" (9.79 per 10,000 cases). Eighty-nine patients (21.8%) died from perioperative PTE. CONCLUSIONS: The incidence of perioperative PTE was not low and its mortality was high in Japan in 2004. In particular, the incidence of perioperative PTE was found to be high in females, the elderly, patients with malignancy, and patients who had undergone orthopedic surgery.
机译：背景：据报道在日本围手术期肺血栓栓塞（PTE）的发生率并不低。这项研究的目的是调查2004年日本围手术期PTE的发生率和特点。方法：向日本麻醉医师学会（JSA）的教学医院注册的960家机构邮寄了问卷。调查的详细信息包括2004年接受手术的患者的年龄，性别，手术类型和危险因素。结果：在960家机构中，有642家机构（66.9％）收到了有效答复。 245家机构报告了409例围手术期PTE病例（有25.5％的机构对此做出了回应）。围手术期PTE的发生率为每10,000例3.62例。起搏时发生心脏骤停65例（15.9％）。在这些患者中，有150名（36.7％）患有恶性肿瘤。 142例（34.7％）肥胖;和121（29.6％）卧床不起（> 4天）。在273例（66.7％）中，患者年龄超过60岁。发现女性中PTE的发生率高于男性（男性147例;女性259例）。导致围手术期PTE发生率较高的手术类型为“脊柱手术”（每10,000例6.95）和“肢体和/或髋关节手术”（每10,000例9.79）。八十九名患者（21.8％）死于围手术期PTE。结论：2004年日本围手术期PTE的发生率不低，其死亡率也很高。特别是，女性，老年人，恶性肿瘤和接受整形外科手术的患者围手术期PTE的发生率较高。 。

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