Prognostic role of the simplified pulmonary embolism severity index and shock index in pulmonary embolism

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dc.authoridGulbas, Gazi/0000-0002-9435-8307
dc.authoridHacievliyagil, Suleyman Savas/0000-0002-2572-1870
dc.authoridErmis, Hilal/0000-0002-1764-9098
dc.authoridAytemur, Zeynep Ayfer/0000-0003-0421-907X
dc.authoridİnceoğlu, Feyza/0000-0003-1453-0937
dc.authoridKilic, Talat/0000-0001-8125-9062
dc.authorwosidGulbas, Gazi/ABI-5182-2020
dc.authorwosidHacievliyagil, Suleyman Savas/ABI-7307-2020
dc.authorwosidErmis, Hilal/ABI-2900-2020
dc.authorwosidAytemur, Zeynep Ayfer/ABI-7452-2020
dc.authorwosidİnceoğlu, Feyza/GVK-2847-2022
dc.authorwosidKilic, Talat/ABI-4457-2020
dc.contributor.authorKilic, Talat
dc.contributor.authorErmis, Hilal
dc.contributor.authorGulbas, Gazi
dc.contributor.authorKaya, Omar
dc.contributor.authorAytemur, Zeynep A.
dc.contributor.authorInceoglu, Feyza
dc.contributor.authorHacievliyagil, Suleyman S.
dc.date.accessioned2024-08-04T20:40:00Z
dc.date.available2024-08-04T20:40:00Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractINTRODUCTION The stratification of acute pulmonary embolism (PE) using the simplified pulmonary embolism severity index (sPESI) and shock index (SI) does not require any prognostic tools such as biomarkers or echocardiography. OBJECTIVES We compared the ability of the sPESI and SI to predict 30-day and 3-year mortality following PE. PATIENTS AND METHODS Prognostic models based on the sPESI and SI were used to predict the overall 30-day (short-term) and 3-year (long-term) mortality in a cohort of 194 patients with confirmed PE. RESULTS Overall, the mortality rate in this cohort was 9.2% in the first month and 29.9% at 3 years. The sPESI categorized fewer patients as low risk (41.7%; 81 of 194 patients) when compared with the SI lower than 1 (74.7%; 145 of 194 patients). Importantly, patients classified as low risk in the sPESI had no 30-day mortality compared with 2.1% of patients (3 of 145) classified as low-risk based on the SI. The 3-year mortality rate in low-risk patients according to the sPESI was lower than that in low-risk patients identified based on the SI (4.9% vs. 20.7%; P < 0.0001). While a multivariate Cox analysis showed that both the SI and sPESI were independent prognostic variables for 3-year mortality, it showed that only the SI was an independent prognostic variable for 30-day mortality. CONCLUSIONS Both prognostic models allow to stratify the risk of short-and long-term mortality in patients with PE, but the sPESI was better than SI at classifying low-risk patients.en_US
dc.identifier.doi10.20452/pamw.2552
dc.identifier.endpage687en_US
dc.identifier.issn0032-3772
dc.identifier.issue12en_US
dc.identifier.pmid25311492en_US
dc.identifier.scopus2-s2.0-84920054752en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage678en_US
dc.identifier.urihttps://doi.org/10.20452/pamw.2552
dc.identifier.urihttps://hdl.handle.net/11616/96644
dc.identifier.volume124en_US
dc.identifier.wosWOS:000347956000006en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMedycyna Praktycznaen_US
dc.relation.ispartofPolskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectlong-term mortalityen_US
dc.subjectpulmonary embolismen_US
dc.subjectshock indexen_US
dc.subjectshort-term mortalityen_US
dc.subjectsimplified pulmonary embolism severity indexen_US
dc.titlePrognostic role of the simplified pulmonary embolism severity index and shock index in pulmonary embolismen_US
dc.typeArticleen_US

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