BACKGROUND: Although pulmonary thromboembolism (PTE) has been considered relatively uncommon in Japan, its incidence has been on the increase in recent years. METHODS AND RESULTS: To verify the incidence of PTE in Japan, PTE cases of obstetrics and gynecology were investigated among 102 facilities throughout Japan between 1991 and 2000. A total of 254 cases were enrolled, showing a 6.5-fold increase over the past 10 years. PTE occurred in 0.02% of total births; 0.003% after vaginal deliveries and 0.06% after cesarean births (C/S), of which 14.5% resulting in fatality. The mortality rate was 2.5 per 100,000 deliveries. The incidences among gynecological cases were 0.08% of total operations; 0.03% in benign diseases and 0.42% in malignant diseases of which 13.5% resulting in fatality. The mortality rate was 10.8 per 100,000 operations. The risk was 22 times higher in C/S compared with vaginal deliveries, 16 times higher in malignant diseases compared with benign diseases. CONCLUSIONS: As our present survey has shown, PTE has been on the rise in Japan in recent years. C/S and malignant diseases are strong risk factors in obstetrics and gynecology.
BACKGROUND: Although pulmonary thromboembolism (PTE) has been considered relatively uncommon in Japan, its incidence has been on the increase in recent years. METHODS AND RESULTS: To verify the incidence of PTE in Japan, PTE cases of obstetrics and gynecology were investigated among 102 facilities throughout Japan between 1991 and 2000. A total of 254 cases were enrolled, showing a 6.5-fold increase over the past 10 years. PTE occurred in 0.02% of total births; 0.003% after vaginal deliveries and 0.06% after cesarean births (C/S), of which 14.5% resulting in fatality. The mortality rate was 2.5 per 100,000 deliveries. The incidences among gynecological cases were 0.08% of total operations; 0.03% in benign diseases and 0.42% in malignant diseases of which 13.5% resulting in fatality. The mortality rate was 10.8 per 100,000 operations. The risk was 22 times higher in C/S compared with vaginal deliveries, 16 times higher in malignant diseases compared with benign diseases. CONCLUSIONS: As our present survey has shown, PTE has been on the rise in Japan in recent years. C/S and malignant diseases are strong risk factors in obstetrics and gynecology.
Authors: Connor M Bunch; Ernest E Moore; Hunter B Moore; Matthew D Neal; Anthony V Thomas; Nuha Zackariya; Jonathan Zhao; Sufyan Zackariya; Toby J Brenner; Margaret Berquist; Hallie Buckner; Grant Wiarda; Daniel Fulkerson; Wei Huff; Hau C Kwaan; Genevieve Lankowicz; Gert J Laubscher; Petrus J Lourens; Etheresia Pretorius; Maritha J Kotze; Muhammad S Moolla; Sithembiso Sithole; Tongai G Maponga; Douglas B Kell; Mark D Fox; Laura Gillespie; Rashid Z Khan; Christiaan N Mamczak; Robert March; Rachel Macias; Brian S Bull; Mark M Walsh Journal: Front Surg Date: 2022-05-04
Authors: Babs M F Hendriks; Roald S Schnerr; Gianluca Milanese; Cécile R L P N Jeukens; Sandra Niesen; Nienke G Eijsvoogel; Joachim E Wildberger; Marco Das Journal: Korean J Radiol Date: 2019-02 Impact factor: 3.500