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Stroke Weekly News: 726 headlines |
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A pregnant mother..a baby..faith of a husband.. .plus... Cardiac Standstill: cooling the patient to 15 degrees Centigrade!| Executive Editor..Anne Merete Robbs CEO..............Stan Swartz |
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| 4 TALES OF NEUROSURGERY & A PIANO CONCERT BY DR. SPETZLER... Plus 2 books written by Survivors for Survivors! |
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| Robert F. Spetzler M.D. Director, Barrow Neurological Institute J.N. Harber Chairman of Neurological Surgery Professor Section of Neurosurgery University of Arizona |
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| TALES OF NEUROSURGERY: | ||||
A pregnant mother..a baby..faith of a husband.. .plus... Cardiac Standstill: cooling the patient to 15 degrees Centigrade! |
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| Lou Grubb Anurism |
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| The young Heros - kids who are confronted with significant medical problems! |
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| 2 Patients...confronted with enormous decisions before their surgery...wrote these books to help others! |
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| A 1 MINUTE PIANO CONCERT BY DR. SPETZLER |
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| January 2014 |
Friday
Obesity Linked to Pulmonary Embolism and DVT ...especially for men and women younger than 40
Obesity is a risk factor for deep venous thrombosis and pulmonary embolism, especially for men and women younger than 40, according to an analysis of millions of U.S. hospital patient records accrued over 20 years.
Obese individuals had more than twice the risk of deep venous thrombosis and pulmonary embolism compared with people of healthy weight, reported Paul D. Stein, M.D., of the Saint Joseph Mercy Oakland Hospital here.
Furthermore, obese persons younger than 40 had more than five times the risk, Dr. Stein and colleagues concluded in the September issue of The American Journal of Medicine.
Obesity has long been thought to be a risk factor, but previous studies were not definitive, the researchers said. In an attempt to settle the question once and for all, the researches mined the database of the National Hospital Discharge Survey to find patients diagnosed with obesity between 1979 and 1999. They then determined the number of these patients also diagnosed with deep venous thrombosis or pulmonary embolism.
The 20 years of hospital records from nearly 500 hospitals in all 50 U.S. states involved huge numbers. The analysis included data on about 12 million hospitalizations of obese patients and a staggering 700 million hospitalizations of non-obese patients. All races and ages were represented.
Obesity had the greatest impact on patients younger than 40. In this age group, the relative risk compared with normal weight for deep venous thrombosis was 5.20 (95% CI=5.15-5.25) and for pulmonary embolism was 5.19 (95% CI=5.11-5.28).
Obese women had significantly greater risk than obese men. Compared with women of normal weight, obese women had relative risk for deep venous thrombosis of 2.75 (95% CI=2.74-2.76), versus 2.02 (95% CI=2.01-2.04) for obese men.
The greater risk for women was particularly pronounced for those younger than 40. Compared with women of normal weight, obese women in this group had a relative risk for deep venous thrombosis of 6.10 (95% CI=6.04-6.17) versus 3.71 (95% CI=3.64-3.79) for obese men.
"Now that we know with certainly that obesity is a risk factor for pulmonary embolism, particularly in men and women under age 40, the presence of obesity may alert physicians to a possibility of the diagnosis," Dr. Stein said.
"The diagnosis of pulmonary embolism is frequently missed even though pulmonary embolism is the third most common acute cardiovascular disease after myocardial infarction and stroke," he added.
CME Teaching Brief - MedPage Today
Obese individuals had more than twice the risk of deep venous thrombosis and pulmonary embolism compared with people of healthy weight, reported Paul D. Stein, M.D., of the Saint Joseph Mercy Oakland Hospital here.
Furthermore, obese persons younger than 40 had more than five times the risk, Dr. Stein and colleagues concluded in the September issue of The American Journal of Medicine.
Obesity has long been thought to be a risk factor, but previous studies were not definitive, the researchers said. In an attempt to settle the question once and for all, the researches mined the database of the National Hospital Discharge Survey to find patients diagnosed with obesity between 1979 and 1999. They then determined the number of these patients also diagnosed with deep venous thrombosis or pulmonary embolism.
The 20 years of hospital records from nearly 500 hospitals in all 50 U.S. states involved huge numbers. The analysis included data on about 12 million hospitalizations of obese patients and a staggering 700 million hospitalizations of non-obese patients. All races and ages were represented.
Obesity had the greatest impact on patients younger than 40. In this age group, the relative risk compared with normal weight for deep venous thrombosis was 5.20 (95% CI=5.15-5.25) and for pulmonary embolism was 5.19 (95% CI=5.11-5.28).
Obese women had significantly greater risk than obese men. Compared with women of normal weight, obese women had relative risk for deep venous thrombosis of 2.75 (95% CI=2.74-2.76), versus 2.02 (95% CI=2.01-2.04) for obese men.
The greater risk for women was particularly pronounced for those younger than 40. Compared with women of normal weight, obese women in this group had a relative risk for deep venous thrombosis of 6.10 (95% CI=6.04-6.17) versus 3.71 (95% CI=3.64-3.79) for obese men.
"Now that we know with certainly that obesity is a risk factor for pulmonary embolism, particularly in men and women under age 40, the presence of obesity may alert physicians to a possibility of the diagnosis," Dr. Stein said.
"The diagnosis of pulmonary embolism is frequently missed even though pulmonary embolism is the third most common acute cardiovascular disease after myocardial infarction and stroke," he added.
CME Teaching Brief - MedPage Today