Aim: To investigate the diagnostic value of pulmonary embolism severity
index (PESI), Simplified PESI (sPESI), Shock Index (SI), Modified SI
(MSI), and Age SI (ASI) scores in predicting 30-day mortality in
patients diagnosed with pulmonary thromboembolism (PTE) in the emergency
department. Materials and Methods: The retrospective study included 257
patients that presented to the emergency department and underwent
contrast-enhanced computed tomography pulmonary angiogram (CTPA) due to
the suspicion of PTE and were interpreted as PTE by an experienced
radiologist between January 1, 2015 and September 20, 2018.The PESI,
sPESI, SI, MSI, and ASI scores were calculated for each patient.
Results: On univariate logistic regression analysis, 30-day mortality
was found to be significantly associated with age, mode of presentation,
SBP, DBP, MAP, heart rate, respiratory rate, O2 saturation, temperature,
D-dimer, troponin I, high-sensitivity cardiac troponin (hs-cTn),
lactate, and SI, MSI, ASI, PESI, and sPESI scores (p<0.05).
PESI had the highest AUC value for the prediction of 30-day mortality
among all scoring systems. Conclusion: PESI had the highest diagnostic
value in predicting 30-day mortality in the patients diagnosed with PTE
in the emergency department, followed by ASI. Our findings regarding ASI
may shed light on future studies evaluating critical patient groups.”
