The impact of age and sex on clinical symptoms in low and intermediate-low risk pulmonary embolism

Emrah Arı; Maşide Arı

Makale detayları

The impact of age and sex on clinical symptoms in low and intermediate-low risk pulmonary embolism

Yazarlar:

Emrah Arı | Maşide Arı

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Solunum Hastalıkları | Acil Tıp

Dergi:

Journal of Medicine and Palliative Care Vol.6 Issue 4, pp.361-366

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357460

pISSN:

2717-7505

Anahtar kelimeler:

Özet:

 Aims: The diagnostic process of pulmonary thromboembolism PTE can be complex due to its wide spectrum of clinical presentations. The type and frequency of symptoms vary not only with the embolism risk category but also in relation to individual demographic factors such as age and sex. This study aims to evaluate the influence of demographic variables on clinical presentation by investigating the distribution of symptoms according to age and sex in patients with acute PTE classified as low or intermediate-low risk. Methods: This retrospective, cross-sectional study was conducted at the Emergency Department of Dışkapı Yıldırım Beyazıt Training and Research Hospital between February 1, 2020, and February 1, 2021. A total of 329 patients aged 18 years and older who were classified as low or intermediate-low risk according to the 2019 European Society of Cardiology guidelines were included in the study. The patients demographic characteristics and clinical symptoms were retrospectively analyzed. Symptom distributions were compared across different age and sex groups. Results: The most frequently reported symptoms among patients were dyspnea 79.3 and chest pain 53.7. Leg pain and or swelling were significantly more common in younger male patients 26, p0.001, while presyncope was more frequently observed in older female patients 27.3, p0.001. Hemoptysis was found to be significantly less common in older female patients compared to other groups 8.2, p0.012. Conclusion: The symptom profile in PTE varies significantly based on patients demographic characteristics. Our study suggests that recognizing these differences during the diagnostic process may help facilitate clinical management by preventing diagnostic delays, particularly in patient groups presenting with atypical symptoms.

 Aims: The diagnostic process of pulmonary thromboembolism PTE can be complex due to its wide spectrum of clinical presentations. The type and frequency of symptoms vary not only with the embolism risk category but also in relation to individual demographic factors such as age and sex. This study aims to evaluate the influence of demographic variables on clinical presentation by investigating the distribution of symptoms according to age and sex in patients with acute PTE classified as low or intermediate-low risk. Methods: This retrospective, cross-sectional study was conducted at the Emergency Department of Dışkapı Yıldırım Beyazıt Training and Research Hospital between February 1, 2020, and February 1, 2021. A total of 329 patients aged 18 years and older who were classified as low or intermediate-low risk according to the 2019 European Society of Cardiology guidelines were included in the study. The patients demographic characteristics and clinical symptoms were retrospectively analyzed. Symptom distributions were compared across different age and sex groups. Results: The most frequently reported symptoms among patients were dyspnea 79.3 and chest pain 53.7. Leg pain and or swelling were significantly more common in younger male patients 26, p0.001, while presyncope was more frequently observed in older female patients 27.3, p0.001. Hemoptysis was found to be significantly less common in older female patients compared to other groups 8.2, p0.012. Conclusion: The symptom profile in PTE varies significantly based on patients demographic characteristics. Our study suggests that recognizing these differences during the diagnostic process may help facilitate clinical management by preventing diagnostic delays, particularly in patient groups presenting with atypical symptoms.

 Aims: The diagnostic process of pulmonary thromboembolism PTE can be complex due to its wide spectrum of clinical presentations. The type and frequency of symptoms vary not only with the embolism risk category but also in relation to individual demographic factors such as age and sex. This study aims to evaluate the influence of demographic variables on clinical presentation by investigating the distribution of symptoms according to age and sex in patients with acute PTE classified as low or intermediate-low risk. Methods: This retrospective, cross-sectional study was conducted at the Emergency Department of Dışkapı Yıldırım Beyazıt Training and Research Hospital between February 1, 2020, and February 1, 2021. A total of 329 patients aged 18 years and older who were classified as low or intermediate-low risk according to the 2019 European Society of Cardiology guidelines were included in the study. The patients demographic characteristics and clinical symptoms were retrospectively analyzed. Symptom distributions were compared across different age and sex groups. Results: The most frequently reported symptoms among patients were dyspnea 79.3 and chest pain 53.7. Leg pain and or swelling were significantly more common in younger male patients 26, p0.001, while presyncope was more frequently observed in older female patients 27.3, p0.001. Hemoptysis was found to be significantly less common in older female patients compared to other groups 8.2, p0.012. Conclusion: The symptom profile in PTE varies significantly based on patients demographic characteristics. Our study suggests that recognizing these differences during the diagnostic process may help facilitate clinical management by preventing diagnostic delays, particularly in patient groups presenting with atypical symptoms.

 Amaç: Pulmoner tromboemboli PTE, geniş bir klinik semptom yelpazesiyle seyretmesi nedeniyle tanı süreci karmaşık olabilen bir durumdur. Semptomların türü ve sıklığı yalnızca emboli risk düzeyiyle değil, aynı zamanda yaş ve cinsiyet gibi bireysel demografik faktörlerle de değişkenlik göstermektedir. Bu çalışma, akut PTE tanısı almış ve Avrupa Kardiyoloji Derneğinin ESC 2019 kılavuzuna göre düşük veya orta-düşük risk grubunda yer alan hastalarda, semptomların yaş ve cinsiyete göre dağılımını inceleyerek demografik değişkenlerin klinik prezentasyon üzerindeki etkisini değerlendirmeyi amaçlamaktadır. Yöntem: Bu retrospektif, kesitsel çalışma, 1 Şubat 2020 ile 1 Şubat 2021 tarihleri arasında Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi Acil Servisinde gerçekleştirilmiştir. ESC 2019 kılavuzuna göre düşük veya orta-düşük risk kategorisinde sınıflandırılan, 18 yaş ve üzerindeki toplam 329 hasta çalışmaya dahil edilmiştir. Hastaların demografik özellikleri ve klinik semptomları geriye dönük olarak analiz edilmiştir. Semptom dağılımları farklı yaş ve cinsiyet grupları arasında karşılaştırılmıştır. Bulgular: Hastalarda en sık bildirilen semptomlar nefes darlığı 79,3 ve göğüs ağrısı 53,7 olarak saptanmıştır. Bacak ağrısı veveya şişliği, genç erkek hastalarda anlamlı düzeyde daha sık görülmüştür 26, p0,001. Presenkop ise yaşlı kadın hastalarda daha yüksek oranda gözlenmiştir 27,3, p0,001. Hemoptizi, yaşlı kadınlarda diğer gruplara kıyasla anlamlı şekilde daha düşük oranda izlenmiştir 8,2, p0,012. Sonuç: PTEde semptom profili, hastaların demografik özelliklerine göre anlamlı farklılıklar göstermektedir. Bu çalışmanın bulguları, özellikle atipik semptomlarla başvuran hasta gruplarında tanı sürecinde bu farklılıkların dikkate alınmasının, tanı gecikmelerini önleyerek klinik yönetimi kolaylaştırabileceğini göstermektedir.

Makale detayları

The impact of age and sex on clinical symptoms in low and intermediate-low risk pulmonary embolism

Yazarlar:

Emrah Arı | Maşide Arı

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Solunum Hastalıkları | Acil Tıp

Dergi:

Journal of Medicine and Palliative Care Vol.6 Issue 4, pp.361-366

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357460

pISSN:

2717-7505

Gender

pulmonary embolism

symptoms

ageCinsiyet

Pulmoner emboli

Semptom

Yaş

Sayı

Makale detayları

Yazarlar: Emrah Arı | Maşide Arı

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Solunum Hastalıkları | Acil Tıp

Dergi: Journal of Medicine and Palliative Care Vol.6 Issue 4, pp.361-366

Belge Tipi: Makale

Yayın Tarihi: 8/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001357460

pISSN: 2717-7505

Sayı

Yazarlar:

Emrah Arı | Maşide Arı

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Solunum Hastalıkları | Acil Tıp

Dergi:

Journal of Medicine and Palliative Care Vol.6 Issue 4, pp.361-366

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357460

pISSN:

2717-7505