Multicentre observational screening survey for the detection of CTEPH following pulmonary embolism.
Details
Serval ID
serval:BIB_DC0C3571452D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Multicentre observational screening survey for the detection of CTEPH following pulmonary embolism.
Journal
The European respiratory journal
ISSN
1399-3003 (Electronic)
ISSN-L
0903-1936
Publication state
Published
Issued date
04/2018
Peer-reviewed
Oui
Volume
51
Number
4
Pages
pii: 1702505
Language
english
Notes
Publication types: Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Publication Status: epublish
Abstract
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.
Keywords
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
Create date
29/03/2018 19:48
Last modification date
20/08/2019 16:01