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Pulmonary Embolism - Temporal Changes

Publication at First Faculty of Medicine |
2003

Abstract

The post-mortem incidence of pulmonary embolism (PE) in the years 1960?2000 was retrospectively reviewed. In five reference years 1960, 1970, 1980, 1990 and 2000 there was a total of 582 necropsy patients with PE encountered in 3420 autopsies of adults (> 18 y.) ? an incidence of 17.0 %.

The incidence had a steadily declining trend ? from 19.2 % in 1960 to 14.2 % in the year 2000. The incidence was higher in females (20.4 %) than in males (14.4 %).

We have also followed the seasonal variation of PE incidence; this was the highest in autumn (September?November) 18.6 %, and the lowest in spring (March?May) 14.3 %. The average age of patients who died with PE increased from 63.7 y. in 1960 to 67.8 y. in 2000; it was higher in females (66.9 y.) than in males (64.2 y.).

Our results confirm those of most pathological studies that the post-mortem incidence of PE is declining.