Predictive Ability of the National Early Warning Score in Mortality Prediction of Acute Pulmonary Embolism in the Southeast Asian Population

Chaiwat Bumroongkit; Pattraporn Tajarernmuang; Konlawij Trongtrakul; Chalerm Liwsrisakun; Athavudh Deesomchok; Chaicharn Pothirat; Theerakorn Theerakittikul; Atikun Limsukon; Nutchanok Niyatiwatchanchai; Juthamas Inchai; Warawut Chaiwong

doi:10.3390/jcdd10020060

Journal of Cardiovascular Development and Disease (Feb 2023)

Predictive Ability of the National Early Warning Score in Mortality Prediction of Acute Pulmonary Embolism in the Southeast Asian Population

Chaiwat Bumroongkit,
Pattraporn Tajarernmuang,
Konlawij Trongtrakul,
Chalerm Liwsrisakun,
Athavudh Deesomchok,
Chaicharn Pothirat,
Theerakorn Theerakittikul,
Atikun Limsukon,
Nutchanok Niyatiwatchanchai,
Juthamas Inchai,
Warawut Chaiwong

Affiliations

Chaiwat Bumroongkit: Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
Pattraporn Tajarernmuang: Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
Konlawij Trongtrakul: Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
Chalerm Liwsrisakun: Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
Athavudh Deesomchok: Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
Chaicharn Pothirat: Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
Theerakorn Theerakittikul: Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
Atikun Limsukon: Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
Nutchanok Niyatiwatchanchai: Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
Juthamas Inchai: Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
Warawut Chaiwong: Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand

DOI: https://doi.org/10.3390/jcdd10020060
Journal volume & issue: Vol. 10, no. 2
p. 60

Abstract

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Background: The National Early Warning Scores (NEWS) easily and objectively measures acute clinical deterioration. However, the performance of NEWS to predict mortality in patients with acute pulmonary embolism (APE) is still required. Therefore, the objective of this study was to evaluate the performance of the NEWS in predicting the mortality of patients with APE. Methods: NEWS and Pulmonary Embolism Severity Index (PESI) at diagnosis time were calculated. Risk regression analysis was performed to identify the NEWS and PESI risk classification as a predictor for 30 days all-cause mortality and PE-related mortality. Results: NEWS was significantly higher in non-survivors compared to survivors (median (IQR) was 10 (7, 11) vs. 7 (2, 9), respectively, p p < 0.001). Conclusions: The NEWS can be used for mortality prediction in patients with APE. APE patients with NEWS ≥ 9 are associated with a high risk of mortality and should be closely monitored.

Published in Journal of Cardiovascular Development and Disease

ISSN: 2308-3425 (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: http://www.mdpi.com/journal/jcdd

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