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

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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