PT - JOURNAL ARTICLE AU - Jose Luis Lobo AU - Veronica Saray Hernandez Garcia AU - Agustina Rivas Guerrero AU - Julia Amaranta Garcia Fuertes AU - David Bravo Blanco AU - Aitor Ballaz Quincoces AU - Dolores Nauffal Manzur AU - Remedios Otero Candelera AU - Reina Valle Bernard AU - David Jimenez De Castro TI - Prognostic scores in pulmonary embolism: PESI, simplified PESI or PREP? DP - 2013 Sep 01 TA - European Respiratory Journal PG - P4100 VI - 42 IP - Suppl 57 4099 - http://erj.ersjournals.com/content/42/Suppl_57/P4100.short 4100 - http://erj.ersjournals.com/content/42/Suppl_57/P4100.full SO - Eur Respir J2013 Sep 01; 42 AB - INTRODUCTIONWhen evaluating the prognosis of hemodinamically stable pulmonary embolism (HSPE), clinical scores (PESI, sPESI) have demonstrated their useful to select low risk patients, but are insufficient to classify high risk patients that could benefit from fibrinolytic treatment. Recently, the PREP score, that includes not only clinical variables but also BNP and echocardiographic RV/LV ratio, has been described and could be useful to select both low and high risk patientsAIMS1 Validate the PREP score in a wide sample of patients with HSPE2 Compare the prognostic value of the PREP score with PESI and sPESIMETHODSPROTECT is a prospective multicentre study that has included patients with HSEP. Clinical and echocardiographic variables have been measured along with ventricular diameter in angioTC, I troponin and BNP levels. Patients were followed up 30 days. PESI, sPESI and PREP were calculated with these dataRESULTS848 patients were included (50.9% female, mean age 67,5 ± 16.7) Global mortality at day 30 was 4.5% (n=38)CONCLUSIONS1 Although the NPV for mortality of the three scores were high, it may due to the low prevalence because the respective sensibilities of PESI and sPESI compared with PREP score resulted significantly different2 Although PPV is limited because of the low frecuency of events, the specifity of PREP score is very high and could be valid for the selection of patients susceptible to fibrinolytic treatment.