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Published on: September 6, 2024
Contribution of COVID-19 to the Total Cases of Pulmonary Embolism and the Potential Risk Factors: Single Academic
Fawaz Altuwaijri1, Karam Amshan2, Amani Y Alanazi3
1Department of Emergency Medicine, College of Medicine, King Saud University, Riyadh, SAU.
Insights
Coronavirus disease (COVID-19) was linked to 27.6% of pulmonary embolism (PE) cases. Male gender and foreign residency were associated with COVID-19 PE, highlighting increased risk in these populations.
Area of Science:
- Pulmonary Medicine
- Infectious Diseases
- Critical Care
Background:
- Limited data exists on pulmonary embolism (PE) triggers and outcomes in coronavirus disease (COVID-19) patients.
- Comparative analysis between COVID-19 associated PE and non-COVID-19 PE is scarce.
Purpose of the Study:
- To determine the prevalence of COVID-19 among PE patients.
- To compare risk factors, laboratory findings, and outcomes between COVID-19 PE and non-COVID-19 PE cohorts.
Main Methods:
- Retrospective study of 58 PE patients from March to December 2020.
- Patients were categorized into COVID-19 positive and negative groups based on nasopharyngeal swabs.
- Statistical analyses were performed to compare demographic, clinical, and laboratory variables.
Main Results:
- COVID-19 was present in 27.6% of PE patients.
- Non-Saudi ethnicity (43.7% vs 4.8%) and male gender were significantly associated with COVID-19 PE.
- Fifty percent of COVID-19 PE patients required intensive care unit (ICU) admission.
Conclusions:
- COVID-19 is a significant contributor to PE cases.
- Identifying foreign residency and male gender may aid in recognizing high-risk COVID-19 patients for PE.
- Further large-scale studies are warranted to validate these findings and inform clinical practice.
Background:
There are limited data regarding potential triggering factors of pulmonary embolism (PE) in coronavirus disease 2019 (COVID-19) patients and its outcomes in comparison with non-infected PE patients. We aimed to identify the contribution of COVID-19 among patients diagnosed with PE and compare risk factors, laboratory results, and outcomes between COVID-19 PE patients and non-COVID-19 PE patients.
Methods:
This was a retrospective study of all PE patients between March 2020 and December 2020. The patients were segmented into two groups based on a COVID-19 nasopharyngeal swab result. Statistical analysis was used to determine the differences in risk factors, laboratory values, and outcomes.
Results:
A total of 58 patients were included. Females comprised 44.8% of the total sample. Overall, 16 patients (27.6%) were COVID-19 positive. Being non-Saudi was observed more in PE COVID-19 patients compared with non-COVID-19 patients (43.7% vs 4.8%, P = 0.001). Intensive care unit (ICU) admission occurred in 50% of COVID-19 PE patients.
Conclusion:
COVID-19 was associated with 27.6% of the PEs in our hospital. Being male or a foreign resident was observed to be associated with COVID-19 PE. Further studies with larger sample sizes are needed, but these results may help the medical community regarding the increased risk of PE among COVID-19 patients and provide evidence of some potentially predictive factors that can be used to identify COVID-19 in high-risk patients.
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