Women with PE who undergo percutaneous pulmonary artery thrombectomy have higher rates of morbidity and in-hospital mortality than men, a large, nationwide cohort study indicated.
who undergo percutaneous pulmonary artery thrombectomy have higher rates of morbidity and in-hospital mortality than men, a large, nationwide cohort study indicated.
"Our data suggest that female patients undergoing percutaneous pulmonary artery thrombectomy represent a particularly vulnerable patient population," they suggest.Data were extracted using the Nationwide Inpatient Sample database for the retrospective, cross-sectional study. Among the 1,128,904 patients diagnosed with pulmonary embolism between 2016 and 2018, 0.5% of them underwent percutaneous pulmonary artery thrombectomy.
Importantly, in-hospital mortality rates for women, at 16.9%, were almost double that for men, at 9.3%, with an adjusted odds ratio of 1.90 . Among those who survived their hospital stay, women were less likely to be discharged to home, at almost 48%, compared with 60.3% for men, with an aOR of 0.70 , the authors add. Interestingly, length of hospital stay was similar in both groups. As the authors note, the explanation for differences in outcomes between women and men is not clear.
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