Pulmonary embolism severity index, age-based markers and evaluation in the emergency department

dc.contributor.authorKara, H.
dc.contributor.authorDegirmenci, S.
dc.contributor.authorBayir, A.
dc.contributor.authorAk, A.
dc.date.accessioned2020-03-26T19:06:50Z
dc.date.available2020-03-26T19:06:50Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectives: The purpose of this study was to assess the severity of pulmonary embolism in the emergency department using vital signs and age-based vital parameters and compare these parameters with pulmonary embolism severity index (PESI) score. Methods: Between January 2011 and October 2014, there were 284 patients diagnosed with pulmonary embolism in the Emergency Unit of Selcuk University Hospital. Patient records were reviewed retrospectively. The PESI scores were calculated, and patients were divided into high-and low-risk groups. Shock index (SI), age-based shock index (SIA), maximum heart rate (MHR), minpulse (MP) and pulse maximum index (PMI) were calculated. The association of these parameters with PESI was evaluated. Receiver operating characteristic (ROC) curve analysis was performed to evaluate the association of risk and mortality with age-based markers. Results: There were 75 men (43%) in the 173 patients included in the study. The PESI classification showed 54 patients in the low-risk group and 119 patients in the high-risk group. Mortality was higher in the PESI high-risk group, and no deaths occurred in the low-risk group. Comparison of the age-based markers and PESI for patients who died or survived showed that AUC for PESI was 0.807, AUC for SI was 0.824 and AUC for SIA was 0.825. Conclusions: The SIA risk classification was more efficient than SI in pulmonary embolism patients who presented to the emergency unit. The SIA was more accurate than SI or PESI in predicting mortality.en_US
dc.identifier.doi10.1179/2295333715Y.0000000008en_US
dc.identifier.endpage264en_US
dc.identifier.issn1784-3286en_US
dc.identifier.issn2295-3337en_US
dc.identifier.issue4en_US
dc.identifier.pmid25819307en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage259en_US
dc.identifier.urihttps://dx.doi.org/10.1179/2295333715Y.0000000008
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32482
dc.identifier.volume70en_US
dc.identifier.wosWOS:000359981200004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMANEY PUBLISHINGen_US
dc.relation.ispartofACTA CLINICA BELGICAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectThromboembolic diseaseen_US
dc.subjectShock indexen_US
dc.subjectAge-based shock indexen_US
dc.subjectMortalityen_US
dc.subjectRisk classificationen_US
dc.titlePulmonary embolism severity index, age-based markers and evaluation in the emergency departmenten_US
dc.typeArticleen_US

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