Methodological Concerns Regarding the Use of Standard Pulmonary Embolism Scores for Predicting Thrombolysis

Öz

This letter discusses methodological concerns regarding the use of diagnostic and prognostic pulmonary embolism scoring systems for predicting thrombolysis requirement in acute pulmonary embolism patients.

Anahtar Kelimeler

• Pulmonary embolism
• Thrombolysis
• Risk stratification

Pulmoner Emboli Skorlarının Tromboliz Tahmininde Kullanımına İlişkin Metodolojik Kaygılar

Öz

Bu mektup, akut pulmoner emboli hastalarında tromboliz ihtiyacını öngörmek için kullanılan tanısal ve prognostik pulmoner emboli skorlama sistemlerine ilişkin metodolojik endişeleri ele almaktadır.

Anahtar Kelimeler

• Pulmoner emboli
• Tromboliz
• Risk sınıflandırması

Kaynakça

1. 1. Ebor J, Rangnani A, Rani JN, Ganesan P. The role of standard scoring systems in predicting early thrombolysis in patients with acute pulmonary embolism presenting to the emergency department: A retrospective cohort study. Eurasian Journal of Critical Care. 2026;8(1):1-7.
2. 2. Wells PS, Anderson DR, Rodger M, et al. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the model’s utility with the SimpliRED D-dimer. Thromb Haemost. 2000;83(3):416-420.
3. 3. Le Gal G, Righini M, Roy PM, et al. Prediction of pulmonary embolism in the emergency department: the revised Geneva score. Ann Intern Med. 2006;144(3):165-171.
4. 4. Jiménez D, Aujesky D, Moores L, et al. Simplification of the pulmonary embolism severity index for prognostication in patients with acute symptomatic pulmonary embolism. Arch Intern Med. 2010;170(15):1383-1389.
5. 5. Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism. Eur Heart J. 2020;41(4):543-603.
6. 6. Rivera-Lebron B, McDaniel M, Ahrar K, et al.; PERT Consortium. Diagnosis, treatment and follow up of acute pulmonary embolism: consensus practice from the PERT Consortium. Clin Appl Thromb Hemost. 2019;25:1076029619853037.