Skaf Elias, Stein Paul D, Beemath Afzal, Sanchez Julia, Olson Ronald E
St. Joseph Mercy Oakland Hospital, Pontiac, Michigan, USA.
Am J Cardiol. 2006 Jun 15;97(12):1776-7. doi: 10.1016/j.amjcard.2006.01.042. Epub 2006 Apr 27.
Death from pulmonary embolism (PE) in patients with ischemic stroke was determined from the United States Census Bureau's Compressed Mortality File, which is based on all death certificates throughout the United States. Among patients with ischemic stroke who died over a 19-year study period, PE was the listed cause of death in 11,101 of 2,000,963 individuals (0.55%). On the basis of an assumed sensitivity of death certificates for fatal PE of 26.7% to 37.2%, the corrected rate of fatal PE was 1.5% to 2.1%. Death rates from PE in patients with ischemic stroke decreased from 1980 to 1998. A decrease over 2 decades in the rate of deaths from PE in patients with ischemic stroke is compatible with the increasing and effective use of antithrombotic prophylaxis.
缺血性中风患者因肺栓塞（PE）死亡的数据来自美国人口普查局的压缩死亡率文件，该文件基于全美国所有的死亡证明。在一项为期19年的研究期间内死亡的缺血性中风患者中，2000963名患者中有11101名（0.55%）的死亡证明上列出的死因是PE。基于假定的死亡证明对致命性PE的敏感度为26.7%至37.2%，校正后的致命性PE发生率为1.5%至2.1%。1980年至1998年期间，缺血性中风患者的PE死亡率有所下降。缺血性中风患者的PE死亡率在20年里有所下降，这与抗血栓预防措施的使用增加且有效是相符的。
