Correlation between the <scp>W</scp>ells score and the <scp>Q</scp>uanadli index in patients with pulmonary embolism

Obradović, D; Joves, Biljana; Karan, Slobodanka Pena; Stefanović, Srđjan; Ivanov, Igor; Vukoja, Marija

doi:10.1111/crj.12291

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…In that case, It will not only cause excessive exposure of patients to the radiation environment but also lead to the waste of medical resources and an increase in medical expenses [19]. (2) The multidisciplinary personalized PE early warning method means that when encountering complex cases in actual work, the nurses pass the timely diagnosis. Maintaining communication with various experts, nurses continue to improve their professional quality and ability under the guidance of experts and better provide nutrition, exercise, and psychological and hemodynamic monitoring services for patients undergoing perioperative thoracic surgery, which can maximize and improve the patient's ability to live activities and quality of life [20].…”

Section: Discussionmentioning

confidence: 99%

“…Pulmonary embolism (PE) is a disease or pathophysiological syndrome caused by pulmonary circulation disorder caused by various endogenous or exogenous emboli blocking the main or branch of the pulmonary artery [ 1 ]. PE ranks the third most common cause of death from cardiovascular disease in the world [ 2 ] and ranks second among the early causes of death after thoracic surgery [ 3 ]. The main reason for the high fatality rate of PE is patients' insidious and complicated symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Construction of Pulmonary Embolism Prediction, Early Warning, and Precontrol MDT Collaborative Nursing Model Based on the Smith Model

Liu¹,

Liu²,

Zhang³

et al. 2022

Computational and Mathematical Methods in Medicine

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The purpose of this study was to construct a multidisciplinary collaborative nursing model for pulmonary embolism risk prediction, early warning, and precontrol based on the Smith model and evaluate the application effect and hospitalization satisfaction. 2,037 patients hospitalized in the thoracic surgery department from June 1, 2019, to May 31, 2021, were selected as the research subjects. The control group received routine pulmonary embolism prevention management, while the experimental group received safe, case-based, and programmatic multidisciplinary intervention management based on the Smith policy management model. The data were analyzed statistically. The experimental group’s extubation and hospitalization time, D-dimer value, incidence of deep vein thrombosis, and pulmonary embolism on the seventh day after surgery were lower than those in the control group, and the satisfaction of hospitalization in the experimental group was higher than that in the control group. The implementation of the multidisciplinary collaborative nursing model of pulmonary embolism risk prediction, early warning, and precontrol based on the Smith model can promote the preventive effect of pulmonary embolism risk of surgical patients in our department and effectively improve the satisfaction of hospitalization, which is worthy for further promotion.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Construction of Pulmonary Embolism Prediction, Early Warning, and Precontrol MDT Collaborative Nursing Model Based on the Smith Model

Liu¹,

Liu²,

Zhang³

et al. 2022

Computational and Mathematical Methods in Medicine

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“…Among these scores, the Qanadli vascular obstruction index is a simple and easy-to-calculate index, is derived from the amount and location of the thrombi on CT images and was found to be reproducible and highly correlated to the pulmonary angiography index [6]. Although the Qanadli CT index has been extensively used to assess acute PE [7,8,9], its use in the evaluation of CTPH has given controversial results so far [10,11]. …”

Section: Introductionmentioning

confidence: 99%

Transthoracic Echocardiography and Chest Computed Tomography Arteriography in Patients with Acute Pulmonary Embolism: A Two-Year Follow-Up Study

Serra

Crisafulli²,

Sverzellati

et al. 2016

Respiration

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Background: Pulmonary hypertension (PH) is frequently found at the time of diagnosis of pulmonary embolism (PE). An incomplete resolution of PE can lead to chronic thromboembolic pulmonary hypertension (CTPH). Transthoracic echocardiogram (TTE) is the first step to diagnose an abnormality of the pulmonary vasculature. Based on computed tomography (CT), the Qanadli vascular obstruction index has been extensively used to assess acute PE. Objectives: Our aim was to ascertain whether at the time of diagnosis of an acute PE episode TTE variables and a Qanadli CT index score may be associated with CTPH 2 years later. Method: Patients with PE were prospectively enrolled. TTE was performed and the Qanadli CT obstruction index was calculated on admission to the hospital, while only TTE was repeated at the 2-year follow-up. The NYHA (New York Heart Association) functional classification was evaluated. Correlation analyses were performed. Results: Twenty patients (11 males, median age 69.5 years) were considered for the study. There was no significant correlation between TTE parameters and the Qanadli CT obstruction index. A significant distribution (χ² = 5.69, p = 0.017) was found in the analysis among patients with CTPH at 24 months and the Qanadli CT index, categorized by a receiver operating characteristic curve cutoff value of 42.5%. Additionally, a significant distribution (χ² = 4.09, p = 0.043) was found in the analysis among patients with CTPH at 24 months and right ventricular systolic pressure on admission, categorized as PH (>31 mm Hg). Conclusion: Our study demonstrates that in patients with acute PE there is no relationship between the Qanadli CT obstruction index and TTE parameters on admission to the hospital. However, the occurrence of CTPH at the 24-month follow-up is associated with PH and with a high Qanadli CT obstruction index score.

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“…Another important CT parameter is the quantification of embolus burden. 4,[12][13][14][15] Several scores were proposed. Most commonly Mastora and Qanadli scores are used.…”

Section: Discussionmentioning

confidence: 99%

Can the CT by‐product Time to threshold be a prognostic factor in patients with acute pulmonary embolism?

2021

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Introduction: Bolus tracking is applied in computed tomography pulmonary angiography. The time that it takes for contrast to reach a predefined threshold in the pulmonary artery is called time to threshold (TTT). Our purpose was to analyse possible associations between TTT and circulatory state and prognosis in patients with acute pulmonary embolism (PE). Methods: In a single-centre, retrospective study 138 patients with PE and contrast administration via peripheral venous line were included. Clinical parameters of circulatory state were arterial pH, systolic blood pressure, heart rate, sPESI score, Wells score and GENEVA score. Survival was defined as surviving the following 30 days after the PE diagnosis. Results: Time to threshold was only weakly correlated with Fi02 (r = 0.26, P = 0.04), pH (r = À0.22, P = 0.009), venous base excess (r = À0.18, P = 0.04) and venous lactate (r = 0.21, P = 0.01). TTT did not correlate with clinical parameters/scores and mortality. There were weak associations between TTT and blood gas analysis parameters. There were no associations with clinically relevant prognosis scores and overall survival. Conclusion: Therefore, albeit TTT is an easily assessable parameter of CTPA, the potential use in clinical routine is limited for prognosis stratification in patients with PE.

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Correlation between the Wells score and the Quanadli index in patients with pulmonary embolism

Abstract: Modified Wells criteria have high sensitivity but low specificity in PE diagnostics. The Wells score does not correlate well with the Quanadli index.

Cited by 9 publications

References 17 publications

Construction of Pulmonary Embolism Prediction, Early Warning, and Precontrol MDT Collaborative Nursing Model Based on the Smith Model

Construction of Pulmonary Embolism Prediction, Early Warning, and Precontrol MDT Collaborative Nursing Model Based on the Smith Model

Transthoracic Echocardiography and Chest Computed Tomography Arteriography in Patients with Acute Pulmonary Embolism: A Two-Year Follow-Up Study

Can the CT by‐product Time to threshold be a prognostic factor in patients with acute pulmonary embolism?

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