Prognostic Effect of Serum Sodium, Glucose, Creatinine in Patients with Acute Pulmonary Thromboembolism

Abstract

Aim: Pulmonary thromboembolism is a disease with high mortality and morbidity. In this study, the impacts of serum sodium, glucose and creatinine levels on prognosis were investigated. Patients and Methods: The data of the patients with PTE who received treatment between January 2010 and December 2012 were analyzed retrospectively. Routine laboratory values, arterial blood gas and transthoracic echocardiography results at the time of admission and 30-day mortality rates were recorded. Results: The mean serum sodium level and eGFR in the group with high mortality were significantly lower compared to the other group, while the serum glucose level was higher. When the compatibility of these markers with PESI was examined, it was found that serum sodium level and eGFR were lower and serum glucose level was higher in PESI class V compared to the other classes, and this difference was statistically significant. Conclusion: In this study, it was found that serum sodium, glucose and eGFR levels, which have the advantage of availability in every center, were compatible with RVD, troponin and PESI parameters that were previously proven prognostic factors in determining the mortality risk in acute PTE.

Keywords

• akut pulmoner tromboemboli
• hiponatremi
• hiperglisemi
• kratin klerensi
• acute pulmonary thromboembolism
• hyponatremia
• hyperglycemia
• creatinin clearance