Derivation cohort | |
Subjects n | 2874 |
Clinical characteristics | |
Age years median (interquartile range) | 72 (60–80) |
Age >80 years | 675 (23) |
Males | 1122 (39) |
Risk factors for VTE | |
Cancer# | 551 (19) |
Recent surgery¶ | 311 (11) |
Previous VTE | 424 (15) |
Immobilisation+ | 475 (16) |
Comorbid diseases | |
COPD | 381 (13) |
Chronic heart failure | 212 (7.4) |
Clinical symptoms and signs at presentation | |
Syncope | 349 (12) |
Chest pain | 1170 (41) |
Dyspnoea | 2062 (72) |
Heart rate ≥110 beats per min§ | 533 (18) |
SaO2 <90%ƒ | 625 (22) |
SBP 90–100 mmHg## | 156 (5.4) |
Simplified PESI | |
Low-risk | 1029 (36) |
High-risk | 1845 (64) |
Imaging and cardiac biomarkers | |
Echocardiographic RV dysfunction¶¶,++ | 716 (33) |
CT-assessed RV dysfunction§§,ƒƒ | 787 (50) |
RV dysfunction¶¶,###,¶¶¶ | 910 (36) |
BNP >100 pg·mL−1+++ | 794 (50) |
Elevated cardiac troponin¶¶,§§§ | 988 (37) |
Treatment | |
Insertion of an IVC filter | 63 (2.2) |
Data are presented as n (%) unless otherwise stated. VTE: venous thromboembolism; COPD: chronic obstructive pulmonary disease; SaO2: arterial oxyhaemoglobin saturation; SBP: systolic blood pressure; PESI: Pulmonary Embolism Severity Index; RV: right ventricular; CT: computed tomography; BNP: brain natriuretic peptide; IVC: inferior vena cava. #: active or under treatment in the previous year; ¶: in the previous month; +: nonsurgical patients who had been immobilised (i.e. total bed rest with bathroom privileges) for ≥4 days in the month prior to pulmonary embolism diagnosis; §: n=2743; ƒ: n=2429; ##: n=2742; ¶¶: see definitions, tests and cut-offs for specific studies in table 1; ++: n=2188; §§: defined as right ventricle/left ventricle ratio >1; ƒƒ: n=1571; ###: echocardiogram or CT; ¶¶¶: n=2504; +++: n=1590; §§§: n=2693.