In-hospital and short-term predictors of mortality in patients with intermediate-high risk pulmonary embolism
| dc.authorid | 0000-0003-0205-1138 | |
| dc.authorid | 0000-0003-2542-3467 | |
| dc.contributor.author | Gök, Gülay | |
| dc.contributor.author | Karadağ, Mehmet | |
| dc.contributor.author | Çınar, Tufan | |
| dc.contributor.author | Nurkalem, Zekeriya | |
| dc.contributor.author | Duman, Dursun | |
| dc.date.accessioned | 2021-01-07T08:46:27Z | |
| dc.date.available | 2021-01-07T08:46:27Z | |
| dc.date.issued | 2020 | |
| dc.department | İstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı | |
| dc.description.abstract | Introduction: The aim of this study was to evaluate the in-hospital and short-term predictive factors of mortality in intermediate-high risk acute pulmonary embolism (PE) patients with right ventricle (RV) dysfunction and myocardial injury.Methods: In this retrospective study, the medical records of 187 patients with a diagnosis of intermediatehigh risk acute PE were evaluated. A contrast-enhanced multi-detector pulmonary angiography was used to confirm diagnosis in all cases. All-cause mortality was determined by obtaining both in-hospital and 30 days follow-up data of patients from medical records.Results: During the in-hospital stay (9.5 +/- 4.72 days), 7 patients died, resulting in an acute PE related in-hospital mortality of 3.2%. Admission heart rate (HR), (Odds ratio (OR), 1.028 95% Confidence interval (CI), 0.002-1.121; P = 0.048) and blood urea nitrogen (BUN) (OR, 1.028 95% CI, 0.002-1.016; P = 0.044) were found to be independent predictors for in-hospital mortality in a multivariate logistic regression analysis. In total, 32 patients (20.9%) died during 30 days follow-up.The presence of congestive heart failure (OR, 0.015, 95%CI, 0.001-0.211; P = 0.002) and dementia (OR, 0.029, 95%CI, 0.002-0.516; P = 0.016) as well as low albumin level (OR, 0.049 95%CI, 0.006-0.383; P = 0.049) were associated with 30 days mortality.Conclusion: HR and BUN were independent predictors of in-hospital mortality and the presence of congestive heart failure, dementia, and low albumin levels were associated with higher 30 days mortality. | |
| dc.identifier.citation | Gök, G., Karadağ, M., Çınar, T., Nurkalem, Z. ve Duman, D. (2020). In-hospital and short-term predictors of mortality in patients with intermediate-high risk pulmonary embolism. Journal of Cardiovascular and Thoracic Research, 12(4), 321-327. https://dx.doi.org/10.34172/jcvtr.2020.51 | |
| dc.identifier.doi | 10.34172/jcvtr.2020.51 | |
| dc.identifier.endpage | 327 | |
| dc.identifier.issn | 2008-5117 | |
| dc.identifier.issn | 2008-6830 | |
| dc.identifier.issue | 4 | |
| dc.identifier.scopusquality | N/A | |
| dc.identifier.startpage | 321 | |
| dc.identifier.uri | https://dx.doi.org/10.34172/jcvtr.2020.51 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12511/6197 | |
| dc.identifier.volume | 12 | |
| dc.identifier.wosquality | N/A | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.indekslendigikaynak | PubMed | |
| dc.language.iso | en | |
| dc.publisher | Tabriz University of Medical Sciences and Health Services | |
| dc.relation.ispartof | Journal of Cardiovascular and Thoracic Research | en_US |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | Attribution 4.0 International | * |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | * |
| dc.subject | Acute Pulmonary Embolism | |
| dc.subject | Mortality | |
| dc.subject | Intermediate-High Risk | |
| dc.title | In-hospital and short-term predictors of mortality in patients with intermediate-high risk pulmonary embolism | |
| dc.type | Article |
