Factors Affecting the Survival Rate of Patients with Pulmonary Thromboembolism

Abstract

Aim:It is aimed to investigate the factors affecting the survival rate and complications that may arise throughout the treatment process from admission to the end of the 6-month period after discharge, the inpatient treatment of individuals with pulmonary thromboembolism, by monitoring these patients.Materials and Methods:The study included adult patients who were followed up in the pulmonology clinic between 01.01.2017 and 01.12.2019 and who had at least segmental thrombus on computed tomography pulmonary angiography.Results:The mean age of 210 patients enrolled into the study was 71.27±13.26 years and 55 (26%) of these patients were male and 155 (74%) of them were female. Pulse rate, Modified Geneva and Wells scores, pulmonary embolism severity index (PESI) and simplified PESI scores of the non-survivors were higher than in the patients who survived. In non-survivors, both red cell distribution width (RDW) and mean corpuscular volume on day 1 and 5, as well as the level of hematocrits were lower. Non-survivors had higher number of platelets but lower levels of total protein and albumin in blood on days 1 and 5. High alkaline phosphatase (ALP), total bilirubin and C-reactive protein (CRP) values on the 1st day were found to be associated with the mortality rate on the 5th day.Conclusion:In our study, high PESI scores; low levels of hemoglobin, total protein, albumin as checked on day 1 and day 5; high RDW levels, high ALP; WBC, CRP and total bilirubin checked on day 5 remaining high were determined to be associated with mortality.

Keywords

• modified geneva score
• mortality
• pulmonary thromboembolism
• wells score