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Master Thesis

Embolies pulmonaires non diagnostiquées au SAU du CHFG, île de La Réunion : fréquence et facteurs associés

Abstract : Background: Despite the existence of clinical scores and decision algorithm, there are in the ED delayed diagnosis of PE. We decided to carry out a study to make the inventory in the emergency department of the CHFG, Reunion island. Method: retrospective study including patients with PE diagnosis confirmed by CTPA or CTS. They all had consulted in the ED of the CHFG between the 1st of January 2010 and the 31st of December 2012. The first aim was to define the frequency of delayed diagnosis of PE. The primary endpoint was the percentage of non-diagnosis PE in the ED. Results: 160 patients included. They had a strong rate of cardiovascular histories including smoking (20%) and HTA (31,3%). The main risks factors of MTVE was a previous episode of veinous thromboembolism (18%) and a long-haul flights (17,5%). There were 22% patients with a delayed diagnosis. They were more often BPCO (p:0,0007) and presented more signs of left cardiac insufficiency (p:0,017) and of oxygen desaturation (p:0,0022). They had less diagnostic scores (p:0,089). Conclusion: Delayed diagnosis of PE in the ED of the CHFG is less important than in the litterature. Cardiovascular risks and long haul flights are strong risks factors of PE. The guidelines should be more used. The BPCO is a factor of delayed diagnosis.
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https://dumas.ccsd.cnrs.fr/dumas-01128623
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Submitted on : Tuesday, March 10, 2015 - 10:16:38 AM
Last modification on : Wednesday, August 23, 2017 - 4:40:56 PM
Long-term archiving on: : Thursday, June 11, 2015 - 10:32:43 AM

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Caroline Paul. Embolies pulmonaires non diagnostiquées au SAU du CHFG, île de La Réunion : fréquence et facteurs associés. Médecine humaine et pathologie. 2014. ⟨dumas-01128623⟩

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