Acil Serviste Basitleştirilmiş Pulmoner Emboli Ciddiyet İndeksi’nin Mortaliteyi Öngörmesinin Değerlendirilmesi

Year 2019, Volume: 11 Issue: 2, 314 - 319, 28.06.2019

Pınar Yeşim Akyol , Zeynep Karakaya , Fatih Esad Topal , Umut Payza , Eylem Kuday Kaykısız

https://doi.org/10.18521/ktd.511525

Abstract

Simplified Pulmonary Embolism Severity Index in Predicting Mortality in Emergency Department

Abstract

AMAÇ:
Pulmoner emboli (PE) mortalite, morbidite ve hastane yatışının en önemli
nedenlerinden biridir. Bu çalışmada pulmoner embolide Basitleştirilmiş Pulmoner
Emboli Ölçeği İndeksi (sPESI)  ile
hastaların 3 aylık mortalite ilişkisini araştırmayı amaçladık.

GEREÇ
VE YÖNTEM: Çalışmaya toplam 118 hasta dahil edildi. PE tanısından 3 ay sonra
ölen hastalar Grup 1 olarak tanımlandı. Diğer hastalar Grup 2 olarak
tanımlandı. SPESI skoru hesaplandı ve kaydedildi. Bu skorlama sistemlerinin 3
aylık mortalite üzerine etkisi araştırıldı.

BULGULAR:
Grup 1'de 31 hasta (% 26.3) ve Grup 2'de 87 hasta (% 73.7) vardı. Hastaların
sPESI skorları incelendiğinde Grup 1 ve 2 arasında 3 aylık mortalite açısından
fark vardı. 3 aylık mortaliteyi öngörmede sPESI% 43.3 duyarlılık ve% 79.4
özgüllük göstermiştir.

SONUÇ:
Acil serviste PE tanısı alan hastalarını risk profillerine göre ayırmak tedavi
ihtiyaçlarını belirlemek açısından önemlidir.

ABSTRACT

BACKGROUND:
Pulmonary embolism (PE) is one of the major causes of mortality, morbidity and
hospital admission. We aimed to investigate the association of the Simplified
Pulmonary Embolism Severity Index (sPESI) and mortality within 3 months.

MATERIALS
AND METHODS: A total of 118 patients were included in the study. Patients who
died within 3 months after PE diagnosis were defined as Group 1. Other patients
were defined as Group 2. The sPESI score was calculated and recorded. The
effect of these scoring systems on 3-month mortality rate was investigated.

RESULTS:  There were 31 patients (26.3%) in Group 1 and
87 patients (73.7%) in Group 2. When the sPESI scores of the patients were
examined, there was difference between Group 1 and 2 in terms of 3-month mortality.
The sPESI had a sensitivity of 43.3% and a specificity of 79.4% for predicting 3-month
mortality.

CONCLUSION:
It is important to categorize patients diagnosed with PE in the emergency
department according to their risk profiles in terms of their treatment needs.

Keywords

Pulmonary Embolism, emergency medicine

References

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