In-hospital and short-term predictors of mortality in patients with intermediate-high risk pulmonary embolism

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dc.authoridCinar, Tufan/0000-0001-8188-5020
dc.contributor.authorGok, Gulay
dc.contributor.authorKaradag, Mehmet
dc.contributor.authorCinar, Tufan
dc.contributor.authorNurkalem, Zekeriya
dc.contributor.authorDuman, Dursun
dc.date.accessioned2024-09-18T19:50:20Z
dc.date.available2024-09-18T19:50:20Z
dc.date.issued2020
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractIntroduction: 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.en_US
dc.identifier.doi10.34172/jcvtr.2020.51
dc.identifier.endpage327en_US
dc.identifier.issn2008-5117
dc.identifier.issn2008-6830
dc.identifier.issue4en_US
dc.identifier.pmid33510882en_US
dc.identifier.scopus2-s2.0-85107902490en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage321en_US
dc.identifier.urihttps://doi.org/10.34172/jcvtr.2020.51
dc.identifier.urihttps://hdl.handle.net/20.500.12483/7375
dc.identifier.volume12en_US
dc.identifier.wosWOS:000599998800010en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTabriz Univ Medical Sciences & Health Servicesen_US
dc.relation.ispartofJournal of Cardiovascular and Thoracic Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute Pulmonary Embolismen_US
dc.subjectMortalityen_US
dc.subjectIntermediate-High Risken_US
dc.titleIn-hospital and short-term predictors of mortality in patients with intermediate-high risk pulmonary embolismen_US
dc.typeArticleen_US

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