Research Article

Prognostic Risk Factors of 30-Day Death in Traumatic Lower Limb Fracture Patients with Acute Pulmonary Embolism: A Single-Center Retrospective Study

Table 1

Clinical characteristic of nonsurvival group and survival group in APE patients.

Nonsurvival group (n = 29)Survival group (n = 266) value

Male (n, %)15 (51.72)121 (45.49)0.328
Age (yr) ≥6523 (79.31)159 (59.77)0.029
BMI (kg/m2)22.23 ± 1.6722.07 ± 1.660.617
Smoking history (n, %)8 (27.59)74 (27.82)0.586
Drinking history (n, %)6 (20.69)50 (18.80)0.484
Hypertension (n, %)14 (48.28)110 (41.36)0.300
Type 2 diabetes (n, %)5 (17.24)39 (14.66)0.441
Hyperlipidemia (n, %)9 (31.03)64 (24.06)0.268
Hyperuricemia (n, %)5 (17.24)31 (11.65)0.269
Cerebral infarction (n, %)6 (20.69)44 (16.54)0.365
Length of stay (days)15.17 ± 7.0216.64 ± 6.120.227
Bone surgery operation (n, %)26 (89.66)249 (93.61)0.312
DVT (n, %)20 (68.97)204 (76.69)0.238
sPESI score ≥1 (n, %)21 (72.41)69 (25.94)<0.01
Wells score ≥7 (n, %)24 (82.76)99 (37.22)<0.01
Pulmonary hypertension (n, %)17 (58.62)27 (10.15)<0.01
Anticoagulant therapy after APE diagnosis20 (68.97)240 (90.23)0.003
Low molecular weight heparin (n, %)16 (55.17)168 (63.16)
Vitamin K antagonists (n, %)1 (3.45)9 (3.38)
Thrombin inhibitors (n, %)1 (3.45)24 (9.02)
Coagulation factor Xa inhibitor (n, %)2 (6.90)39 (14.66)
Systemic thrombolysis (n, %)2 (6.89)10 (3.76)0.334
Percutaneous catheter directed treatment (n, %)4 (13.79)31 (11.65)0.460
IVC filter implantation (n, %)8 (27.59)59 (22.18)
In nonanticoagulant therapy patients (n, %)4 (44.44)22 (84.62)0.030
In anticoagulant therapy patients (n, %)4 (20.00)37 (15.42)0.390
Antiplatelet therapy after APE diagnosis (n, %)3 (10.34)15 (5.64)0.255

APE, acute pulmonary embolism; BMI, body mass index; DVT, deep venous thrombosis; sPESI: simplified pulmonary embolism severity index; IVC: inferior vena cava.