Comparing predictive performance of pulmonary embolism risk stratification tools for acute clinical deterioration.

ABSTRACT:

Objectives

Existing pulmonary embolism (PE) risk scores were developed to predict death within weeks, but not more proximate adverse events. We determined the ability of 3 PE risk stratification tools (simplified pulmonary embolism severity index [sPESI], 2019 European Society of Cardiology guidelines [ESC], and PE short-term clinical outcomes risk estimation [PE-SCORE]) to predict 5-day clinical deterioration after emergency department (ED) diagnosis of PE.

Methods

We analyzed data from six EDs on ED patients with confirmed PE. Clinical deterioration was defined as death, respiratory failure, cardiac arrest, new dysrhythmia, sustained hypotension requiring vasopressors or volume resuscitation, or escalated intervention within 5 days of PE diagnosis. We determined sensitivit

SUBMITTER: Weekes AJ 

PROVIDER: S-EPMC10214857 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature