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Autopsy-verified venous thromboembolism within a defined urban population--the city of Malmo, Sweden

Nordstrom, M and Lindblad, Bengt LU (1998) In Acta Pathologica, Microbiologica et Immunologica Scandinavica (APMIS) 106(3). p.378-384
Abstract
OBJECTIVE: To analyse the frequency of autopsy-proven venous thromboembolism within a defined region and evaluate if certain risk groups not earlier recognized could be found. The incidence of objectively diagnosed venous thromboembolism was also calculated. SETTING: The city of Malmo, Sweden, with 230,000 inhabitants. MAIN OUTCOME MEASURE: Analysis of 2,356 autopsies for the year 1987 of deceased inhabitants from the city of Malmo (2,981 deceased, autopsy frequency 79.0%) regarding venous thromboembolism. RESULTS: 25% of autopsies revealed venous thromboembolism. At the acute-care hospital 31%, at the chronic hospital 37%, but in forensic autopsies of non-hospital deaths only 5% (p<0.001) revealed venous thromboembolism. Major... (More)
OBJECTIVE: To analyse the frequency of autopsy-proven venous thromboembolism within a defined region and evaluate if certain risk groups not earlier recognized could be found. The incidence of objectively diagnosed venous thromboembolism was also calculated. SETTING: The city of Malmo, Sweden, with 230,000 inhabitants. MAIN OUTCOME MEASURE: Analysis of 2,356 autopsies for the year 1987 of deceased inhabitants from the city of Malmo (2,981 deceased, autopsy frequency 79.0%) regarding venous thromboembolism. RESULTS: 25% of autopsies revealed venous thromboembolism. At the acute-care hospital 31%, at the chronic hospital 37%, but in forensic autopsies of non-hospital deaths only 5% (p<0.001) revealed venous thromboembolism. Major pulmonary embolism was seen in 13% and was more frequent in in-hospital deaths (p<0.001). Two in-hospital and two non-hospital deaths due to pulmonary embolism and fractures were found: two patients with knee fractures, one hip fracture and one ankle fracture patient. The incidence of objectively diagnosed venous thromboembolism (autopsy, phlebography, perfusion scintigraphy) was calculated and an incidence of 42.5/10,000 inhabitants/year was found, (strongly age-dependent). CONCLUSION: Venous thromboembolism is a common finding in autopsies of hospitalized patients. Patients with fractures other than hip fractures are less well studied as regards venous thromboembolic complications. Further studies on these fracture patients are warranted. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Pathologica, Microbiologica et Immunologica Scandinavica (APMIS)
volume
106
issue
3
pages
378 - 384
publisher
John Wiley & Sons
external identifiers
  • pmid:9548426
  • scopus:0031972398
ISSN
1600-0463
language
English
LU publication?
yes
id
eb429e60-2884-4605-8d04-a5e726b21a5c (old id 1113605)
date added to LUP
2008-07-15 13:13:38
date last changed
2017-10-01 03:36:20
@article{eb429e60-2884-4605-8d04-a5e726b21a5c,
  abstract     = {OBJECTIVE: To analyse the frequency of autopsy-proven venous thromboembolism within a defined region and evaluate if certain risk groups not earlier recognized could be found. The incidence of objectively diagnosed venous thromboembolism was also calculated. SETTING: The city of Malmo, Sweden, with 230,000 inhabitants. MAIN OUTCOME MEASURE: Analysis of 2,356 autopsies for the year 1987 of deceased inhabitants from the city of Malmo (2,981 deceased, autopsy frequency 79.0%) regarding venous thromboembolism. RESULTS: 25% of autopsies revealed venous thromboembolism. At the acute-care hospital 31%, at the chronic hospital 37%, but in forensic autopsies of non-hospital deaths only 5% (p&lt;0.001) revealed venous thromboembolism. Major pulmonary embolism was seen in 13% and was more frequent in in-hospital deaths (p&lt;0.001). Two in-hospital and two non-hospital deaths due to pulmonary embolism and fractures were found: two patients with knee fractures, one hip fracture and one ankle fracture patient. The incidence of objectively diagnosed venous thromboembolism (autopsy, phlebography, perfusion scintigraphy) was calculated and an incidence of 42.5/10,000 inhabitants/year was found, (strongly age-dependent). CONCLUSION: Venous thromboembolism is a common finding in autopsies of hospitalized patients. Patients with fractures other than hip fractures are less well studied as regards venous thromboembolic complications. Further studies on these fracture patients are warranted.},
  author       = {Nordstrom, M and Lindblad, Bengt},
  issn         = {1600-0463},
  language     = {eng},
  number       = {3},
  pages        = {378--384},
  publisher    = {John Wiley & Sons},
  series       = {Acta Pathologica, Microbiologica et Immunologica Scandinavica (APMIS)},
  title        = {Autopsy-verified venous thromboembolism within a defined urban population--the city of Malmo, Sweden},
  volume       = {106},
  year         = {1998},
}