Evidence map›Paper›PMID 24551013›Full record

ArticleAnnals of thoracic medicine2014

Outcome of pulmonary embolism and clinico-radiological predictors of mortality: Experience from a university hospital in Saudi Arabia.

Hadil A K Al Otair, Ahmad A Al-Boukai, Gehan F Ibrahim, Mashael K Al Shaikh, Ahmed Y Mayet, Mohamed S Al-Hajjaj

Open access · diamondAbstract read
In one paragraph

Article in Annals of thoracic medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Clinical and echocardiographic findings of patients with suspected acute pulmonary thromboembolism who underwent computed tomography pulmonary angiography.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2016
    Article
  7. Article
  8. Reply to the editor.Annals of thoracic medicine · 2014
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Hadil A K Al OtairDepartment of Critical Care Medicine, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Ahmad A Al-BoukaiDepartment of Radiology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Gehan F IbrahimDepartment of Radiology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Mashael K Al ShaikhDepartment of Pharmacy, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Ahmed Y MayetDepartment of Pharmacy, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Mohamed S Al-HajjajDepartment of Medicine, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
King Saud University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of this study is to determine the outcome of pulmonary embolism (PE) and the clinico-radiological predictors of mortality in a university hospital setting.

methodsA Prospective observational study conducted at King Khalid University Hospital, Riyadh Saudi Arabia between January 2009 and 2012. A total of 105 consecutive patients (49.9 ± 18.7 years) with PE diagnosed by computed tomography pulmonary angiography were followed until death or hospital discharge.

resultsOverall in hospital mortality rate was 8.6%, which is lower than other international reports. Two-thirds of patients developed PE during the hospitalization. The most common risk factors were surgery (35.2%), obesity (34.3%) and immobility (30.5%). The localization of the embolus was central in 32.4%, lobar in 19% and distal in 48.6%. A total of 26 patients (25%) had evidence of right ventricular strain and 14 (13.3%) were hypotensive. Multivariate analysis revealed that heart failure (Beta = -0.53, P < 0.001), palpitation (Beta = -0.24, P = 0.014) and high respiratory rate (Beta = -0.211, P < 0.036) were significant predictors of mortality. There was no significant difference in the localization of the embolus or obstruction score between survivors and non-survivors.

conclusionThe outcome of PE is improving; however, it remains an important risk factor for mortality in hospitalized patients. Congestive heart failure, tachypnea and tachycardia at presentation were associated with higher mortality. These factors need to be considered for risk stratification and management decisions of PE patients. Radiological quantification of clot burden was not a predictor of death.

Indexed as

obstruction scoreOutcomepulmonary embolism predictors

Identifiers

PMID24551013
PMCPMC3912681
OpenAlexW2035037292

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.