Analysis of National Trends in Admissions for Pulmonary Embolism

Sean B. Smith; Jeffrey B. Geske; Paul Kathuria; Michael Cuttica; Daniel R. Schimmel; D. Mark Courtney; Grant W. Waterer; Richard G. Wunderink

doi:10.1016/j.chest.2016.02.638

Analysis of National Trends in Admissions for Pulmonary Embolism

Sean B. Smith, Jeffrey B. Geske, Paul Kathuria, Michael Cuttica, Daniel R. Schimmel, D. Mark Courtney, Grant W. Waterer, Richard G. Wunderink

Internal Medicine

Research output: Contribution to journal › Article

66 Citations (Scopus)

Abstract

© 2016 American College of Chest Physicians
Background Pulmonary embolism (PE) remains a significant cause of hospital admission and health-care costs. Estimates of PE incidence came from the 1990s, and data are limited to describe trends in hospital admissions for PE over the past decade. Methods We analyzed Nationwide Inpatient Sample data from 1993 to 2012 to identify patients admitted with PE. We included admissions with International Classification of Diseases, 9th revision, codes listing PE as the principal diagnosis as well as admissions with PE listed secondary to principal diagnoses of respiratory failure or DVT. Massive PE was defined by mechanical ventilation, vasopressors, or nonseptic shock. Outcomes included hospital lengths of stay, adjusted charges, and all-cause hospital mortality. Linear regression was used to analyze changes over time. Results Admissions for PE increased from 23 per 100,000 in 1993 to 65 per 100,000 in 2012 (P

Original language	English
Pages (from-to)	35-45
Number of pages	11
Journal	Chest
Volume	150
Issue number	1
Early online date	18 Feb 2015
DOIs	https://doi.org/10.1016/j.chest.2016.02.638
Publication status	Published - Jul 2016

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title = "Analysis of National Trends in Admissions for Pulmonary Embolism",

abstract = "{\textcopyright} 2016 American College of Chest PhysiciansBackground Pulmonary embolism (PE) remains a significant cause of hospital admission and health-care costs. Estimates of PE incidence came from the 1990s, and data are limited to describe trends in hospital admissions for PE over the past decade. Methods We analyzed Nationwide Inpatient Sample data from 1993 to 2012 to identify patients admitted with PE. We included admissions with International Classification of Diseases, 9th revision, codes listing PE as the principal diagnosis as well as admissions with PE listed secondary to principal diagnoses of respiratory failure or DVT. Massive PE was defined by mechanical ventilation, vasopressors, or nonseptic shock. Outcomes included hospital lengths of stay, adjusted charges, and all-cause hospital mortality. Linear regression was used to analyze changes over time. Results Admissions for PE increased from 23 per 100,000 in 1993 to 65 per 100,000 in 2012 (P",

author = "Smith, {Sean B.} and Geske, {Jeffrey B.} and Paul Kathuria and Michael Cuttica and Schimmel, {Daniel R.} and Courtney, {D. Mark} and Waterer, {Grant W.} and Wunderink, {Richard G.}",

year = "2016",

month = jul,

doi = "10.1016/j.chest.2016.02.638",

language = "English",

volume = "150",

pages = "35--45",

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TY - JOUR

T1 - Analysis of National Trends in Admissions for Pulmonary Embolism

AU - Smith, Sean B.

AU - Geske, Jeffrey B.

AU - Kathuria, Paul

AU - Cuttica, Michael

AU - Schimmel, Daniel R.

AU - Courtney, D. Mark

AU - Waterer, Grant W.

AU - Wunderink, Richard G.

PY - 2016/7

Y1 - 2016/7

N2 - © 2016 American College of Chest PhysiciansBackground Pulmonary embolism (PE) remains a significant cause of hospital admission and health-care costs. Estimates of PE incidence came from the 1990s, and data are limited to describe trends in hospital admissions for PE over the past decade. Methods We analyzed Nationwide Inpatient Sample data from 1993 to 2012 to identify patients admitted with PE. We included admissions with International Classification of Diseases, 9th revision, codes listing PE as the principal diagnosis as well as admissions with PE listed secondary to principal diagnoses of respiratory failure or DVT. Massive PE was defined by mechanical ventilation, vasopressors, or nonseptic shock. Outcomes included hospital lengths of stay, adjusted charges, and all-cause hospital mortality. Linear regression was used to analyze changes over time. Results Admissions for PE increased from 23 per 100,000 in 1993 to 65 per 100,000 in 2012 (P

AB - © 2016 American College of Chest PhysiciansBackground Pulmonary embolism (PE) remains a significant cause of hospital admission and health-care costs. Estimates of PE incidence came from the 1990s, and data are limited to describe trends in hospital admissions for PE over the past decade. Methods We analyzed Nationwide Inpatient Sample data from 1993 to 2012 to identify patients admitted with PE. We included admissions with International Classification of Diseases, 9th revision, codes listing PE as the principal diagnosis as well as admissions with PE listed secondary to principal diagnoses of respiratory failure or DVT. Massive PE was defined by mechanical ventilation, vasopressors, or nonseptic shock. Outcomes included hospital lengths of stay, adjusted charges, and all-cause hospital mortality. Linear regression was used to analyze changes over time. Results Admissions for PE increased from 23 per 100,000 in 1993 to 65 per 100,000 in 2012 (P

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DO - 10.1016/j.chest.2016.02.638

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