Multicentre observational screening survey for the detection of CTEPH following pulmonary embolism.

Détails

ID Serval
serval:BIB_DC0C3571452D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Multicentre observational screening survey for the detection of CTEPH following pulmonary embolism.
Périodique
The European respiratory journal
Auteur⸱e⸱s
Coquoz N., Weilenmann D., Stolz D., Popov V., Azzola A., Fellrath J.M., Stricker H., Pagnamenta A., Ott S., Ulrich S., Györik S., Pasquier J., Aubert J.D.
ISSN
1399-3003 (Electronic)
ISSN-L
0903-1936
Statut éditorial
Publié
Date de publication
04/2018
Peer-reviewed
Oui
Volume
51
Numéro
4
Pages
pii: 1702505
Langue
anglais
Notes
Publication types: Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Résumé
Chronic thromboembolic pulmonary hypertension (CTEPH) is a severe complication of pulmonary embolism. Its incidence following pulmonary embolism is debated. Active screening for CTEPH in patients with acute pulmonary embolism is yet to be recommended.This prospective, multicentre, observational study (Multicentre Observational Screening Survey for the Detection of Chronic Thromboembolic Pulmonary Hypertension (CTEPH) Following Pulmonary Embolism (INPUT on PE); ISRCTN61417303) included patients with acute pulmonary embolism from 11 centres in Switzerland from March 2009 to November 2016. Screening for possible CTEPH was performed at 6, 12 and 24 months using a stepwise algorithm that included a dyspnoea phone-based survey, transthoracic echocardiography, right heart catheterisation and radiological confirmation of CTEPH.Out of 1699 patients with pulmonary embolism, 508 patients were assessed for CTEPH screening over 2 years. CTEPH incidence following pulmonary embolism was 3.7 per 1000 patient-years, with a 2-year cumulative incidence of 0.79%. The Swiss pulmonary hypertension registry consulted in December 2016 did not report additional CTEPH cases in these patients. The survey yielded 100% sensitivity and 81.6% specificity. The second step echocardiography in newly dyspnoeic patients showed a negative predictive value of 100%.CTEPH is a rare but treatable disease. A simple and sensitive way for CTEPH screening in patients with acute pulmonary embolism is recommended.
Mots-clé
Aged, Chronic Disease, Female, Humans, Hypertension, Pulmonary/epidemiology, Incidence, Male, Mass Screening, Middle Aged, Prospective Studies, Pulmonary Embolism/complications, Registries, Risk Factors, Sensitivity and Specificity, Surveys and Questionnaires, Switzerland/epidemiology, Thromboembolism/complications
Pubmed
Web of science
Création de la notice
29/03/2018 20:48
Dernière modification de la notice
20/08/2019 17:01
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