Prevalence of pulmonary embolism in patients with COVID-19, april - december 2020
DOI:
https://doi.org/10.53903/01212095.147Keywords:
Coronavirus infections, Pulmonary embolism, Computed tomography angiographyAbstract
Introduction: Thrombotic events associated with COVID-19 infection contribute to higher morbidity and mortality of patients. The objective was to review the clinical and imaging characteristics of patients with suspected diagnosis of pulmonary embolism (PE) and COVID-19 infection, from April to December 2020. Methodology: Cross-Sectional observational study that included patients with a molecular diagnosis of SARS CoV-2 infection and chest computed tomography angiography (CT angiography) performed for suspected PE. Patients were divided into two groups (PE vs No PE). Qualitative variables were compared with each other with Pearson’s Chi2 test or Fisher’s exact test, and quantitative variables were analized with the Student’s T test or the Mann-Whitney U test. Results: 127 patients were included with a median age of 60 (IQR: 45-69) years, 68 (53.5%) were men and 23.6% (n = 30) presented PE. When comparing PE (n = 30) vs No PE (n = 97), the first group required more mechanical ventilation, extended days of hospitalization, higher mortality as well as higher levels of D-Dimer, all with statistically significant difference (p < 0.05). Conclusion: A quarter of patients with COVID-19 presented PE as a complication with high levels of D-dimer, a higher frequency of ventilatory assistance, more days of hospitalization and higher mortality.
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