Analysis of contemporary mortality trends in pulmonary embolism, United States, 1999–2020

Ogunsola, Ayobami S.; Farhadi, Kameron; Mercy, Udeh C.; Elenwa, Faith; Karaye, Rukayyah M.; Baba, Muhammad Jaafar; Eniola, Olatunji A.; Yunusa, Ismaeel; Karaye, Ibraheem M.

doi:10.1016/j.thromres.2023.01.004

Thrombosis Research

2023

DOI: 10.1016/j.thromres.2023.01.004

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Analysis of contemporary mortality trends in pulmonary embolism, United States, 1999–2020

Ayobami S. Ogunsola

Kameron Farhadi

Udeh C. Mercy

et al.

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2024

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Cited by 5 publications

(1 citation statement)

References 28 publications

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“…The development of these clinical decision rule, which have reportedly reduced the use of chest imaging in their validation trials, did not succeed in such reduction in routine practice, outside of clinical research. Several studies have reported an increase in the use of computed tomographic pulmonary angiography (CTPA), yet no decrease in mortality rates, which have stayed the same over the time [7]. Studies have highlighted the substantial healthcare costs associated with CTPA utilization, particularly given the high prevalence of incidental findings and subsequent downstream testing [8].…”

mentioning

confidence: 99%

Pulmonary embolism: pitfalls, unmet needs, and perspectives in emergency medicine

Roussel,

Bannelier

2024

European Journal of Emergency Medicine

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mentioning

confidence: 99%

Pulmonary embolism: pitfalls, unmet needs, and perspectives in emergency medicine

Roussel,

Bannelier

2024

European Journal of Emergency Medicine

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Sex, Racial/Ethnic, and Regional Disparities in Pulmonary Embolism Mortality Trends in the USA, 1999–2020

Eikermann,

Tam,

Eyth

et al. 2024

J. Racial and Ethnic Health Disparities

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Background While the National Institutes of Health emphasize integrating sex as a biological variable into research, specific considerations of sex-related differences in pulmonary embolism (PE) mortality trends remain scarce. This study examines sex-based PE mortality trends across regional and demographic groups in the USA from 1999 to 2020. Methods A retrospective analysis of National Center for Health Statistics mortality data from 1999 to 2020 was conducted. Using ICD-10 code I26, PE decedents were identified. Piecewise linear regression assessed sex-based temporal trends in PE mortality by age, race/ethnicity, and census region. Annual percentage changes and average annual percentage changes were derived using Weighted Bayesian Information Criteria. The 95% confidence intervals were estimated using the empirical quantile method. Results From 1999 to 2020, a total of 179,273 individuals died in the USA due to PE, resulting in an age-adjusted mortality rate of 2.5 per 100,000 persons (95% CI, 2.5–2.5). While men and women exhibited comparable rates in recent time segments and across most subcategories, a higher mortality trend among males compared to females was observed among non-Hispanic White and Hispanic individuals and residents of the Western US census region. These results remained robust even after excluding data from 2020, accounting for the potential impact of the COVID-19 pandemic. Conclusions Our study highlights sex-based disparities in PE mortality trends in the USA from 1999 to 2020. Despite overall stable mortality rates, higher trends among males were evident in specific demographic groups and regions. These findings emphasize the importance of targeted interventions to mitigate PE-related mortality discrepancies across diverse populations.

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Insights into Covid-19 mortality: A comprehensive study of cardiovascular sensitivity, gender, race, and geography trends in the United States (2020-2023)

Raja,

Khan,

Sagar

et al. 2024

Current Problems in Cardiology

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Analysis of contemporary mortality trends in pulmonary embolism, United States, 1999–2020

Cited by 5 publications

References 28 publications

Pulmonary embolism: pitfalls, unmet needs, and perspectives in emergency medicine

Pulmonary embolism: pitfalls, unmet needs, and perspectives in emergency medicine

Sex, Racial/Ethnic, and Regional Disparities in Pulmonary Embolism Mortality Trends in the USA, 1999–2020

Insights into Covid-19 mortality: A comprehensive study of cardiovascular sensitivity, gender, race, and geography trends in the United States (2020-2023)

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