Key result
CT pulmonary angiography in pregnant and postpartum women revealed that multiple gestation, preterm rupture of membranes, and gestational diabetes were linked to higher PE prevalence (P=0.001).
Why the study?
Pulmonary embolism is a common cause of maternal death during pregnancy and the puerperium, but data on its prevalence in middle-income countries are lacking.
What is the prevalence of pulmonary embolism and alternative diagnoses on CTPA in high-risk pregnant and postpartum women?
Observational (n=67)
No
What is the prevalence of pulmonary embolism and alternative diagnoses on CTPA in high-risk pregnant and postpartum women?
p-value: p== 0.001
CTPA in high-risk pregnant and postpartum women in an upper middle-income country setting has a higher diagnostic yield for PE and alternative diagnoses than previously reported in international literature.
Background: Pulmonary embolism (PE) is a common cause of maternal death during pregnancy and the puerperium yet data on its prevalence in middle-income countries is lacking. Methods: We examined the medical records and CTPA (computed tomography pulmonary angiography) images of 67 women in an obstetric high care unit during pregnancy and the puerperium. We aimed to determine the prevalence of PE in a high-risk obstetric population undergoing CTPA, assess associated clinical features in this cohort, and determine the prevalence of alternative CT findings. Results: = 0.001). Multiple gestation, preterm rupture of membranes, and gestational diabetes were linked to higher PE prevalence. Conclusions: This study, set in an upper middle-income country, demonstrated a higher CTPA yield for PE and alternative diagnoses than in international literature, emphasising context-specific assessments.
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Herbst et al. (2024) conducted an observational in Pulmonary embolism (n=67). CT pulmonary angiography was evaluated on Prevalence of pulmonary embolism (p== 0.001). CT pulmonary angiography in pregnant and postpartum women revealed that multiple gestation, preterm rupture of membranes, and gestational diabetes were linked to higher PE prevalence (P=0.001).
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