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The PESI, the simplified PESI and the shock index for identification of high-risk and low-risk patients with acute pulmonary embolism

Burcu Koyden, Fusun Alatas, Selma Metintas
European Respiratory Journal 2012 40: P3885; DOI:
Burcu Koyden
1Chest Disease, Osmangazi University, Medical Faculty, Eskisehir, Turkey
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Fusun Alatas
1Chest Disease, Osmangazi University, Medical Faculty, Eskisehir, Turkey
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Selma Metintas
2Public Health, Osmangazi University, Medical Faculty, Eskisehir, Turkey
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Abstract

We compared the test characteristics of the pulmonary embolism severity index (PESI), the simplified pulmonary embolism severity index (sPESI) and shock index (SI) for predicting 30-day outcomes in a prospective study of 132 patients with objectiveliy confirmed pulmonary embolism (PE). The primary outcome of the study was 30-day mortality.

Overall, 13 (9,8%) out of 132 patients died during the first month. The SI classified fewer patients as high-risk (41 (31,1%) out of 132 patients, compared to sPESI (45 (34,1%) and compared to PESI (57 (43,2%). High-risk patients based on the SI had a higher mortality than those based on the sPESI and PESI (31,7% versus 22,2% and17,5%). Low-risk patients based on the SI had a lower mortality than those based on sPESI and PESI (0% versus 3,4% and 4%).

The SI quantified the prognosis of patients with PE beter than sPESI and PESI.

  • Embolism
  • © 2012 ERS
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The PESI, the simplified PESI and the shock index for identification of high-risk and low-risk patients with acute pulmonary embolism
Burcu Koyden, Fusun Alatas, Selma Metintas
European Respiratory Journal Sep 2012, 40 (Suppl 56) P3885;

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The PESI, the simplified PESI and the shock index for identification of high-risk and low-risk patients with acute pulmonary embolism
Burcu Koyden, Fusun Alatas, Selma Metintas
European Respiratory Journal Sep 2012, 40 (Suppl 56) P3885;
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