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Should cancer be removed from sPESI score?

Mustafa Bugra Coskuner, Yılmaz Bülbül, Funda Öztuna, Tevfik Ozlu
European Respiratory Journal 2021 58: PA505; DOI: 10.1183/13993003.congress-2021.PA505
Mustafa Bugra Coskuner
1Clinic of Chest Diseases, Aksaray Training and Research Hospital, Aksaray, Turkey
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  • For correspondence: mustafabugracoskuner@gmail.com
Yılmaz Bülbül
2Department of Chest Diseases, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
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Funda Öztuna
2Department of Chest Diseases, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
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Tevfik Ozlu
2Department of Chest Diseases, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
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Abstract

Aim: The aim of this study is to assess the utility of the sPESi (simplified pulmonary embolism severity index) to predict all-cause mortality related risk only in patients with high sPESi score due to cancer diagnosis.

Methods: We performed a retrospective analysis of high sPESi score patients. Outpatients and high-risk patients were excluded from the study. Two cohorts were created as patients with cancer and without cancer. We divided the cancer cohort into 2 groups; patients with sPESi score=1 and patients with sPESI score ≥ 2. Patients with sPESi score=1 did not have an additional sPESi score component other than cancer.

Results:

 Median age

n=97

72 (25–95)

Cancer cohort (n=45)

56 (28-89)

Non-cancer cohort (n=52)

79.5 (25-95)

İntermediate low-risk

İntermediate high-risk

57.7%

42.3%

64.4%

35.6%

51.9%

48.1%

Cancer

Age>80

Pulse rate ≥110 b.p.m.

Systolic BP <100 mmHg

Arterial oxyhaemoglobin saturation <90%

Chronic cardiopulmonary diseases

53.6%

28.9%

35.1%

11.3%

33%

42.3%

100%

13.3%

37.8%

15.6%

22.2%

40%

0

42.3%

32.7%

5.8%

42.3%

44.2%

 sPESi score≥1 (%100)=1 (24.4%) ≥2 (75.6%)=1 (55.8%) ≥2 (44.2%)
All-cause mortality 30 day11.3%11.1%11.5%
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This study provides an idea to reevaluate the role of cancer in sPESi.

  • Embolism
  • Treatments
  • Neoplastic diseases

Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA505.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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Should cancer be removed from sPESI score?
Mustafa Bugra Coskuner, Yılmaz Bülbül, Funda Öztuna, Tevfik Ozlu
European Respiratory Journal Sep 2021, 58 (suppl 65) PA505; DOI: 10.1183/13993003.congress-2021.PA505

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Should cancer be removed from sPESI score?
Mustafa Bugra Coskuner, Yılmaz Bülbül, Funda Öztuna, Tevfik Ozlu
European Respiratory Journal Sep 2021, 58 (suppl 65) PA505; DOI: 10.1183/13993003.congress-2021.PA505
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