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icd 10 code for coagulopathy
Morris JM; Algert CS; Roberts CL
SUMMARY BACKGROUND: Pregnancy and the postpartum aeon are times of hypercoagulability, accretion the accident of pulmonary embolism. Better altitude of accident factors can advice ambition women who are best acceptable to account from postpartum thromboprophylaxis with heparin.
OBJECTIVES: To actuate the accident amount and timing of postpartum pulmonary embolism, and appraise perinatal accident factors predictive of the event.
PATIENTS/METHODS: Antenatal, commitment and postpartum acceptance annal of a accomplice of 510 889 pregnancies were analysed. Pulmonary array was articular from ICD-10 codes at delivery, alteration or aloft readmission at any time in the postpartum period.
RESULTS: Pulmonary array occurred in 375 women and was best accepted postpartum. The amount of postpartum pulmonary array after an anterior thrombotic accident was 0.45 per 1000 births. By the end of 4 weeks postpartum, the account amount approached the accomplishments amount of pulmonary array in the population. Although the Caesarean area amount rose decidedly throughout the abstraction period, and pulmonary array was added accepted afterward belly birth, the amount of pulmonary array afterward Caesarean bearing fell. Regression modelling approved that stillbirth (adjusted allowance arrangement [aOR] =5.97), lupus (aOR = 8.83) and admixture of a agglomeration artefact (aOR = 8.84) were best acerb associated with pulmonary array postpartum.
CONCLUSIONS: Pulmonary array best frequently occurs up to 4 weeks postpartum and afterward belly birth. Despite this the complete accident amount is low and a broadly across-the-board accident agency access to the use of pharmacological thromboprophylaxis will crave abounding women to be apparent to heparin to anticipate an embolic event.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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