Evidence map›Paper›PMID 42430331›Full record

ArticlePloS one2026

Characteristics, management, and outcomes of segmental and subsegmental pulmonary embolism in ICU patients: A retrospective cohort study.

Nuanprae Kitisin, Nattaya Raykateeraroj, Yukiko Hikasa, Jonathan Nübel, Alessandro Caroli, Glenn Eastwood, Emily Harman, Sandra Lussier, Derick Adigbli, Jane E Lewis and 4 more

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Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Nuanprae KitisinDepartment of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.ORCID https://orcid.org/0000-0001-9703-3551
Nattaya RaykateerarojDepartment of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Yukiko HikasaDepartment of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.ORCID https://orcid.org/0000-0001-6133-765X
Jonathan NübelDepartment of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.ORCID https://orcid.org/0000-0002-6051-8931
Alessandro CaroliDepartment of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.ORCID https://orcid.org/0009-0009-2140-0808
Glenn EastwoodDepartment of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.
Emily HarmanDepartment of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.
Sandra LussierDepartment of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.
Derick AdigbliDepartment of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.ORCID https://orcid.org/0000-0002-3942-4324
Jane E LewisDepartment of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.
Numan KutaibaDepartment of Radiology, Austin Hospital, Heidelberg, Victoria, Australia.
Daryl JonesDepartment of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.
Sikarin UpalaDepartment of Preventive and Social Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Ary Serpa NetoDepartment of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the incidence, management, and outcomes of segmental and subsegmental pulmonary embolism (PE) in intensive care unit (ICU) patients and to explore associations between therapeutic-dose anticoagulation and clinical outcomes.

designSingle-center retrospective cohort study.

settingTertiary academic hospital ICU between January 2019 and June 2025. PATIENTS: Critically ill adults (≥18 years) who underwent computed tomography pulmonary angiography (CTPA) during ICU admission and had radiologically confirmed segmental or subsegmental PE.

interventionsNone. MEASUREMENTS AND MAIN

resultsRadiology reports of all CTPA examinations performed in ICU-admitted patients were screened to identify the most proximal level of thrombus. Clinical records were reviewed for demographics, illness severity, radiologic characteristics, anticoagulation practice, bleeding, venous thromboembolism (VTE) recurrence, and mortality. Among 896 CTPA examinations performed in 804 patients, 164 examinations (18.3%) identified PE. Of these, 115 scans (12.8% of all CTPAs) demonstrated distal PE only, corresponding to 104 patients (12.9%) (61 segmental, 43 subsegmental). Overall, 96% of patients with distal PE received anticoagulation and 86% of anticoagulated patients received therapeutic-dose regimens. Bleeding occurred in 15% (major bleeding 12%), 90-day VTE recurrence in 7.8%, and 90-day mortality in 24%. No statistically significant association was found between the use of therapeutic-dose anticoagulation and 90-day mortality (adjusted odds ratio [OR], 0.70; 95% CI, 0.21-2.45), bleeding episodes (adjusted OR, 2.34; 95% CI, 0.47-19.2), or VTE recurrence (adjusted OR, 0.69; 95% CI, 0.11-6.22).

conclusionsIn critically ill adults, segmental and subsegmental PE are commonly detected on CTPA and are usually treated with therapeutic-dose anticoagulation. Although VTE recurrence was less frequent than bleeding episodes and mortality, our study did not find a significant association between therapeutic-dose anticoagulation and bleeding episodes, recurrent VTE, or mortality. Larger prospective studies are needed to define optimal anticoagulation strategies for ICU patients with distal PE.

Indexed as

AnticoagulantsPulmonary EmbolismAgedComputed Tomography AngiographyCritical IllnessFemaleHemorrhageHumansIntensive Care UnitsMaleMiddle AgedRetrospective StudiesTreatment OutcomeVenous ThromboembolismAnticoagulants

Identifiers

PMID42430331
PMCPMC13353973

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.