CORRELATION OF PULMONARY EMBOLISM SEVERITY INDEX AND PULMONARY ARTERY INVOLVEMENT IN CT PULMONARY ANGIOGRAM- EXPERIENCE IN A TERTIARY CARE CENTRE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 15
Abstract
BACKGROUND Pulmonary embolism is a common and life-threatening condition. Most of the mortality due to pulmonary embolism occurs within the first few hours of the event. Despite improvement in diagnostic techniques, delays in diagnosis of pulmonary embolism are common. As an aetiology of sudden death, massive pulmonary embolism is second only to sudden cardiac death. In current scenario, it is underdiagnosed. Even though, the diagnosis is established, the choice of treatment decides the prognosis. So, using PESI (pulmonary embolism severity index), we can categorise patients into low-risk group and high-risk group and compared it with CTPA (computed tomography pulmonary angiogram) imaging for level of pulmonary artery involvement. MATERIALS AND METHODS This is a retrospective study for a period of 3 years from January 2013 to June 2016. Total of 50 patients were included in this study. In acute pulmonary embolism, patients who underwent CTPA, PESI clinical score was calculated and correlation was done in between these two. RESULTS Out of 50 patients, 38 are in high-risk group and 12 are in low-risk group. Main pulmonary artery, right/left pulmonary artery were involved in 70% of high-risk group patients, which shows a statistically significant association between risk group (class) and involvement of level of arteries by CT pulmonary angiography (p value 0.001). CONCLUSION By simply using this, 11 variable PESI score, one can predict the patients who are at high risk in the emergency department itself. We can decide, which patient should undergo thrombolization according to the risk score. Patients with high-risk score with immediate thrombolysis will have better results.
Authors and Affiliations
John Satish Rudrapogu, Biju Govind, Anil Naralasetty
Keywords
Related Articles
- EP ID EP214289
- DOI 10.18410/jebmh/2017/162
- Views 108
- Downloads 0
LONG HOSPITAL STAY MAY LEAD TO DEPRESSION?
BACKGROUND A significant percentage of patients admitted in the hospital for some other ailments for duration longer than their expectations may suffer from depression during their hospitalization. Aim of the study is to...
RELATIONSHIP BETWEEN SERUM VITAMIN D LEVEL AND ANGIOGRAPHIC SEVERITY IN CORONARY ARTERY DISEASE
BACKGROUND The aim of the study is to study the correlation of plasma 25-hydroxy vitamin D level with angiographic severity (Gensini score1 ) in Coronary Artery Disease (CAD). To determine the relation between vitamin D...
RADIODIAGNOSIS OF PLEURAL LESIONS WITH USG AND CT SCAN
BACKGROUND Ultrasound is easy available, less expensive study. It differentiates pleural effusion, consolidation and masses. CT scores in diagnosing early pleural lesions and helps in localising lesions differentiating b...
ENDERS NAILING IN PEDIATRICS SHAFT FEMUR FACTURE
Femoral shaft fractures are the most common major pediatric injuries managed by the Orthopaedics surgeon. They represent approximately 1.6% of all bony injuries in children. Males are affected more frequently than female...
SUDDEN UNEXPECTED DEATH SYNDROME AMONG MIGRANT LABOURERS IN NORTH KERALA- AN AUTOPSY-BASED STUDY
BACKGROUND Death among migrant labourers without a definite diagnosis even after autopsy and ancillary investigations is a real challenge for health system in Kerala. Most of the deaths were during night, having similar...