TY - JOUR T1 - Is a complete blood cell count useful in determining the prognosis of pulmonary embolism? JF - European Respiratory Journal JO - Eur Respir J VL - 44 IS - Suppl 58 SP - P2403 AU - Hadice Selimoglu Sen AU - Ozlem Abakay AU - Abdullah Cetin Tanrikulu AU - Cengizhan Sezgi AU - Mahsuk Taylan AU - Abdurrahman Abakay AU - Halide Kaya AU - Abdurrahman Senyigit Y1 - 2014/09/01 UR - http://erj.ersjournals.com/content/44/Suppl_58/P2403.abstract N2 - Introduction and Aim: Pulmonary embolism (PE) have a high mortality rate within the first 3 months. This study was designed to assess the additional prognostic value of a complete blood cell (CBC) count, renal function markers, C-reactive protein (CRP) and simplified pulmonary embolism severity index (sPESI) scoring system in PE 100-day mortality.Materials and Methods:The study retrospectively enrolled 208 consecutive patients, whowere hospitalized with the diagnosis of an acute PE. The primary end point of the study was an adverse 100-day outcome, defined as death from any cause.Results:The all-cause mortality at the first 100-day was 14.42%. The mean age was 57.87 ± 18.17 (range: 16-93) years. We included 79 (38%) males and 129 (62%) females. Red cell distribution width (RDW) and sPESI were found to be statistically significant predictors of PE mortality by multivariate regression analysis. On multivariate regression analysis, RDW was associated with a 4.08 fold ( 95% CI: 1.229-13.335, p=0.021) increase in PE mortality. The 16.25 cutoff value of RDW obtained by ROC analysis showed a significant survival difference for all-cause mortality in Kaplan-Meier survival analysis (P=0.001).Conclusion:The results of this study suggest that RDW and sPESI may be a useful guide in predicting 100-day mortality. High RDW levels were associated with an increased mortality in the first 100 days after the PE diagnosis in this study. High sPESI scores were found to be associated with a poor prognosis. ER -