Can right ventricular assessments improve triaging of low risk pulmonary embolism?

ABSTRACT:

Objectives

Identifying right ventricle (RV) abnormalities is important to stratifying pulmonary embolism (PE) severity. Disposition decisions are influenced by concerns about early deterioration. Triaging strategies, like the Simplified Pulmonary Embolism Severity Index (sPESI), do not include RV assessments as predictors or early deterioration as outcome(s). We aimed to (1) determine if RV assessment variables add prognostic accuracy for 5-day clinical deterioration in patients classified low risk by sPESI, and (2) determine the prognostic importance of RV assessments compared to other variables and to each other.

Methods

We identified low risk sPESI patients (sPESI = 0) from a prospective PE registry. From a large field of candidate variables, we developed, and compared pr

SUBMITTER: Raper JD 

PROVIDER: S-EPMC11998612 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature