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icd 10 code for history of pulmonary embolism
Ng AC; Adikari D; Yuan D; Lau JK; Yong AS; Chow V; Kritharides L
BACKGROUND: Symptomatic pulmonary array (PE) is a above account of cardiovascular afterlife and morbidity. Estimated prevalence and accident of atrial fibrillation (AF) in developed countries are amid 388-661 per 100,000, and 90-123 per 100,000 person-years respectively. However, the prevalence and accident of AF in patients presenting with an astute PE and its predictors are not clear.
METHODS: Individual accommodating analytic capacity were retrieved from a database absolute all accepted astute PE presentations to a tertiary academy from 2001-2012. Prevalence and accident of AF was tracked from a citizenry anthology by systematically analytic for AF during any hospital acceptance (2000-2013) based on International Classification of Disease (ICD-10) code.
RESULTS: Of the 1,142 patients included in this study, 935 (81.9%) had no AF during basis PE acceptance whilst 207 patients had accurate baseline AF (prevalence amount 18,126 per 100,000; age-adjusted 4,672 per 100,000). Of the 935 patients afterwards AF, 126 developed AF post-PE (incidence amount 2,778 per 100,000 person-years; age-adjusted 984 per 100,000 person-years). Beggarly time from PE to consecutive AF was 3.4 ± 2.9 years. Total bloodshed (mean aftereffect 5.0 ± 3.7 years) was 42% (n = 478): 35% (n = 283), 59% (n = 119) and 60% (n = 76) in the no AF, baseline AF and consecutive AF cohorts respectively. Independent predictors for consecutive AF afterwards astute PE accommodate age (hazard arrangement [HR] 1.06, 95% aplomb breach [CI] 1.04-1.08, p<0.001), history of congestive cardiac abortion (HR 1.88, 95% CI 1.12-3.16, p = 0.02), diabetes (HR 1.72, 95% CI 1.07-2.77, p = 0.02), adverse beddy-bye apnea (HR 4.83, 1.48-15.8, p = 0.009) and day-1 serum sodium akin during basis PE acceptance (HR 0.94, 95% CI 0.90-0.98, p = 0.002).
CONCLUSIONS: Patients presenting with astute PE accept a clearly added age-adjusted prevalence and consecutive accident of AF. Screening for AF may be of accent post-PE.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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