Evidence map›Paper›PMID 33407492›Full record

ArticleRespiratory research2021

Developing a scoring tool to estimate the risk of deterioration for normotensive patients with acute pulmonary embolism on admission.

Yizhuo Gao, Chao Ji, Hongyu Zhao, Jun Han, Haitao Shen, Dong Jia

Abstract read
In one paragraph

Article in Respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yizhuo GaoDepartment of Pulmonary and Critical Care Medicine, Shengjing Hospital of China Medical University, No. 36, Sanhao Street, Shenyang, China.
Chao JiDepartment of Clinical Epidemiology, Shengjing Hospital of China Medical University, No. 36, Sanhao Street, Shenyang, China.
Hongyu ZhaoDepartment of Emergency Medicine, Shengjing Hospital of China Medical University, No. 36, Sanhao Street, Shenyang, China.
Jun HanDepartment of Emergency Medicine, Shengjing Hospital of China Medical University, No. 36, Sanhao Street, Shenyang, China.
Haitao ShenDepartment of Emergency Medicine, Shengjing Hospital of China Medical University, No. 36, Sanhao Street, Shenyang, China.
Dong JiaDepartment of Emergency Medicine, Shengjing Hospital of China Medical University, No. 36, Sanhao Street, Shenyang, China. jiadong0101@126.com.

Funding

Health commission of Liaoning LNCCC-D12-2015
6 · The paper itself

Abstract

backgroundIt is important to identify deterioration in normotensive patients with acute pulmonary embolism (PE). This study aimed to develop a tool for predicting deterioration among normotensive patients with acute PE on admission.

methodsClinical, laboratory, and computed tomography parameters were retrospectively collected for normotensive patients with acute PE who were treated at a Chinese center from January 2011 to May 2020 on admission into the hospital. The endpoint of the deterioration was any adverse outcome within 30 days. Eligible patients were randomized 2:1 to derivation and validation cohorts, and a nomogram was developed and validated by the aforementioned cohorts, respectively. The areas under the curves (AUCs) with 95% confidence intervals (CIs) were calculated. A risk-scoring tool for predicting deterioration was applied as a web-based calculator.

resultsThe 845 eligible patients (420 men, 425 women) had an average age of 60.05 ± 15.43 years. Adverse outcomes were identified for 81 patients (9.6%). The nomogram for adverse outcomes included heart rate, systolic pressure, N-terminal-pro brain natriuretic peptide, and ventricle/atrial diameter ratios at 4-chamber view, which provided AUC values of 0.925 in the derivation cohort (95% CI 0.900-0.946, p < 0.001) and 0.900 in the validation cohort (95% CI 0.883-0.948, p < 0.001). A risk-scoring tool was published as a web-based calculator ( https://gaoyzcmu.shinyapps.io/APE9AD/ ).

conclusionsWe developed a web-based scoring tool that may help predict deterioration in normotensive patients with acute PE.

Indexed as

Disease ProgressionNomogramsPatient AdmissionAcute DiseaseAgedBlood PressureFemaleHumansMaleMiddle AgedPulmonary EmbolismRetrospective StudiesRisk AssessmentComputerized tomographyNomogramPulmonary embolismRight ventricle

Identifiers

PMID33407492
PMCPMC7788965

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