The red cell distribution width to platelet ratio predicts 30-day mortality of acute pulmonary embolism patients
Journal Title: Journal of Acute Disease - Year 2019, Vol 8, Issue 2
Abstract
Objective: To specify the clinical and sociodemographic characteristics, risk factors, factors affecting mortality including hematologic parameters, and red blood cell distribution width to platelet ratio (RPR) in patients with pulmonary thromboembolism, and to reduce the mortality. Methods: The archive records of patients diagnosed with pulmonary embolism were retrospectively examined. The histories, risk factors, physical examination findings, arterial blood gas analysis, X-rays, laboratory, and computed tomography reports of all cases were obtained via the hospital information system. Logistic regression analysis was performed to determine the independent variables affecting early mortality. Results: A total of 146 patients with a definitive diagnosis of pulmonary thromboembolism were included. Thirteen point seven percent (n=20) of the deceased patients died at early term. Ninety percent of patients with early mortality was 65 years or older. There were significantly differences in age, RPR, D-dimer, creatinine, lymphocyte, pH, and body temperature between patients with and without early mortality (P=0.017, P<0.001, P=0.019, P=0.025, P=0.042, P=0.013, P=0.017, respectively). Logistic regression analysis showed that RPR was a statistically significant and independent risk factors of mortality [P=0.026, OR: 0.254., 95% CI (0.326-5.056)]. In addition, there was a significant difference in pulmonary embolism severity index classification between patients with and without early mortality(P<0.034). Conclusions: RPR is an independent risk factor of mortality of pulmonary embolism patients and may help emergency physician to stratify mortality risks of pulmonary embolism patients.
Authors and Affiliations
Meliha Findik, Cemil Kavalci, Afsin Emre Kayipmaz, Murat Muratoglu, Elif Kilicli
Keywords
Related Articles
- EP ID EP484561
- DOI 10.4103/2221-6189.254427
- Views 124
- Downloads 0
Survival after prolonged cardiopulmonary resuscitation in cardiac arrest due to electric shock
Cardiac arrhythmias and respiratory paralysis are among the common causes of death in electric shock victims. Emergency physicians face unique challenges in stabilizing airway and spine apart from fibrillating myocardium...
Acute middle ear Aspergillus niger infection in a patient with StevensJohnson syndrome: a case report
Rationale: Stevens-Johnson syndrome is a disorder mostly attributed to drug use, which can cause different skin problems. Patient concerns: A 31-year-old woman presented with severe pain and pounding in the left ear. Dia...
Emergent and delayed hybrid external fixation management of tibial pilon fractures: A multicentric retrospective analysis of 80 patients
Objective: To report our experience with the hybrid external fixator in emergency. Methods:We assessed 80 cases of pilon fracture treated with the external fixator during the period of January 2009 and December 2016:55 m...
Acute ethanol-related nervous system injuries
Acute ethanol intoxication has a diversity of clinical pictures that extend from mere euphoria to severe neurological impairment culminating in coma. Although the majority of cases have a reversible and benign course, th...
Use of antiepileptic drugs in children with brain tumors: A review for acute management
Patients with primary or secondary tumors in the central nervous system may have seizures resulting from direct tissue damage, metabolic abnormalities, infection, or toxic side effects of medications. In pediatric patien...