Pulmonary Embolism in Adolescents

Research output: Contribution to journalArticle

87 Citations (Scopus)

Abstract

To clarify the epidemiology of pulmonary embolism in adolescents, a retrospective analysis of adolescent admissions to a general hospital over a 15-year period was performed. Eighteen patients had 19 episodes of pulmonary embolism, an incidence of 78 per 100 000 hospitalized adolescents. There were twice as many female as male patients. Common complaints were chest pain, dyspnea, cough, and hemoptysis. Common findings were hypoxemia and deep-vein thrombosis. Major risk factors were oral contraceptive use and elective abortion in 75% of female patients and trauma in 67% of male patients. Unlike its effect in adults, pulmonary embolism is rarely fatal in adolescents. Although clinical features in adolescents are similar to those in adults, there is a high incidence of both overdiagnosis and underdiagnosis. The early use of pulmonary arteriography in difficult diagnostic situations is suggested.

Original languageEnglish (US)
Pages (from-to)667-671
Number of pages5
JournalAmerican Journal of Diseases of Children
Volume140
Issue number7
DOIs
StatePublished - 1986

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Pulmonary Embolism
Hospitalized Adolescent
Hemoptysis
Incidence
Oral Contraceptives
Chest Pain
Cough
Venous Thrombosis
General Hospitals
Dyspnea
Angiography
Epidemiology
Lung
Wounds and Injuries

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Pulmonary Embolism in Adolescents. / Bernstein, Daniel; Coupey, Susan M.; Schonberg, S. Kenneth.

In: American Journal of Diseases of Children, Vol. 140, No. 7, 1986, p. 667-671.

Research output: Contribution to journalArticle

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