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January 1, 2013Respiratory ResearchOpen Access

Initial presentation with pulmonary embolism in COPD patients was associated with a higher risk of VTE recurrence as PE (OR 2.04; 95% CI 1.11-3.72) and fatal PE compared to DVT alone.

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Why the study?

Does initial presentation with acute PE compared to DVT alone increase the risk of adverse outcomes at 3 months in patients with VTE and COPD?

Population

4036 patients with venous thromboembolism and chronic obstructive pulmonary disease from the world-wide…

Comparison

Initial clinical presentation of acute pulmonary… vs Initial clinical presentation of deep vein…

Design

Cohort

Follow-up

3 months

Key result

Initial presentation with pulmonary embolism in COPD patients was associated with a higher risk of VTE recurrence as PE (OR 2.04; 95% CI 1.11-3.72) and fatal PE compared to DVT alone.

Authors

LBLaurent BertolettiSQSara QuenetSLSilvy Laporte

Discussion

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Member takes

Overview

May support closer surveillance in COPD patients with initial PE; leaves open optimal secondary prevention strategies.

Study Design

Type

Cohort (n=4,036)

Multicenter

Yes

Structured PICO

Does initial presentation with acute PE compared to DVT alone increase the risk of adverse outcomes at 3 months in patients with VTE and COPD?

P
Population
4,036 patients with chronic obstructive pulmonary disease and venous thromboembolism from the worldwide RIETE registry, followed for 3 months.
E
Exposure
Initial clinical presentation of acute pulmonary embolism (PE)
C
Comparator
Initial clinical presentation of deep vein thrombosis (DVT) alone
O
Outcome
Rate of pulmonary embolism (PE) recurrence, major bleeding, and death during the first 3 monthshard clinical

Main Result

Odds Ratio: 2.04 (95% CI 1.11–3.72)

In COPD patients with VTE, initial presentation with PE is associated with a significantly higher risk of recurrent PE and fatal PE at 3 months compared to DVT alone.

Cite This Study

Bertoletti et al. (2013) conducted a cohort in Venous thromboembolism and chronic obstructive pulmonary disease (n=4,036). Initial presentation with acute pulmonary embolism vs. Initial presentation with deep vein thrombosis alone was evaluated on VTE recurrence as pulmonary embolism (OR 2.04, 95% CI 1.11-3.72). Initial presentation with pulmonary embolism in COPD patients was associated with a higher risk of VTE recurrence as PE (OR 2.04; 95% CI 1.11-3.72) and fatal PE compared to DVT alone.

synapsesocial.com/papers/6ab70dafe8e89c0a8ec8b2b0https://doi.org/10.1186/1465-9921-14-75
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Incidence of deep venous thrombosis in patients with both Pulmonary Embolism and COPD.2021 · 6 citations
  2. 2Prevalence, Risk Factor and Clinical Characteristics of Venous Thrombus Embolism in Patients with Acute Exacerbation of COPD: A Prospective Multicenter Study2023 · 28 citations
  3. 3Clinical presentation and prognosis of acute symptomatic pulmonary embolism in patients with concomitant upper-extremity versus lower-extremity deep vein thrombosis2025 · 3 citations
  4. 4Incidence of venous thromboembolism in COPD: linking inflammation and thrombosis?2016 · 24 citations
  5. 5Long-term prognosis in patients with pulmonary embolism2024