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01-06-2015 | Original Article

Changes in the incidence, case fatality rate, and characteristics of symptomatic perioperative pulmonary thromboembolism in Japan: Results of the 2002–2011 Japanese Society of Anesthesiologists Perioperative Pulmonary Thromboembolism (JSA-PTE) Study

Authors: Masayuki Kuroiwa, Hiroshi Morimatsu, Koichi Tsuzaki, Kazuo Irita, Michiyoshi Sanuki, Hideki Nakatsuka, Mashio Nakamura

Published in: Journal of Anesthesia | Issue 3/2015

Abstract

Purpose

This study aimed to examine the incidence, case fatality rate, and characteristics of perioperative symptomatic pulmonary thromboembolism (PS-PTE) throughout Japan.

Methods

From 2002 to 2011, confidential questionnaires were mailed annually to all Japanese Society of Anesthesiologists-certified training hospitals for data collection to determine the incidence and case fatality rate of PS-PTE patients. Data from 10,537 institutions in which a total of 11,786,489 surgeries had been performed were analyzed using the Mann–Whitney and Chi-square tests.

Results

In total, 3,667 PS-PTE cases were identified. The average incidence of PS-PTE was 3.1 (2.2–4.8) per 10,000 surgeries, and the average case fatality rate was 17.9 % (12.9–28.8 %). The incidence of PS-PTE began to significantly decrease in 2004 compared with that of 2002 (0.0036 vs. 0.0044 %: p < 0.01). The case fatality rate temporarily increased toward 2005 (17.9 to 28.8 %); however, it gradually decreased since 2008 (15.7 %) and was the lowest (12.9 %) in 2011. Regarding the trends in prophylaxis, the rate of mechanical prophylaxis increased significantly in 2003 compared with that of 2002 (59.5 vs. 35.0 %: p < 0.01), and almost plateaued (73.1–83.1 %) after 2004. Furthermore, the rate of pharmacological prophylaxis started increasing in 2008 (17.6 %) and reached around 30 % after 2009 (28.8–30.2 %).

Conclusions

The results of our 10-year survey study show that the incidence of PS-PTE decreased significantly since 2004, and the case fatality rate seemed to show a downward trend since 2008. Major changes in the distribution of prophylaxis in PS-PTE patients were observed.

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Title: Changes in the incidence, case fatality rate, and characteristics of symptomatic perioperative pulmonary thromboembolism in Japan: Results of the 2002–2011 Japanese Society of Anesthesiologists Perioperative Pulmonary Thromboembolism (JSA-PTE) Study
Authors: Masayuki Kuroiwa
Hiroshi Morimatsu
Koichi Tsuzaki
Kazuo Irita
Michiyoshi Sanuki
Hideki Nakatsuka
Mashio Nakamura
Publication date: 01-06-2015
Publisher: Springer Japan
Published in: Journal of Anesthesia / Issue 3/2015
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-014-1939-y

ACC 2024 Congress

Springer Medicine

Changes in the incidence, case fatality rate, and characteristics of symptomatic perioperative pulmonary thromboembolism in Japan: Results of the 2002–2011 Japanese Society of Anesthesiologists Perioperative Pulmonary Thromboembolism (JSA-PTE) Study

Abstract

Purpose

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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