Evidence map›Paper›PMID 39993438›Full record

ArticleThrombosis and haemostasis2026

Enhancing Pulmonary Embolism Risk Stratification: The National Early Warning Score and its Integration into the European Society of Cardiology Classification.

Karin Janata, Alexandra Julia Lipa, Anne Merrelaar, Marieke Merrelaar, Ursula Azizi-Semrad, Harald Herkner, Michael Schwameis, Juergen Grafeneder

Abstract read
In one paragraph

Article in Thrombosis and haemostasis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Review
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

8 authors.

Karin JanataDepartment of Emergency Medicine, Medical University of Vienna, Wien, Austria.
Alexandra Julia LipaDepartment of Emergency Medicine, Medical University of Vienna, Wien, Austria.
Anne MerrelaarDepartment of Emergency Medicine, Medical University of Vienna, Wien, Austria.ORCID 0000-0002-1978-7064
Marieke MerrelaarDepartment of Emergency Medicine, Medical University of Vienna, Wien, Austria.
Ursula Azizi-SemradDepartment of Emergency Medicine, Medical University of Vienna, Wien, Austria.
Harald HerknerDepartment of Emergency Medicine, Medical University of Vienna, Wien, Austria.ORCID 0000-0003-1329-6149
Michael SchwameisDepartment of Emergency Medicine, Medical University of Vienna, Wien, Austria.ORCID 0000-0003-2741-6877
Juergen GrafenederDepartment of Emergency Medicine, Medical University of Vienna, Wien, Austria.ORCID 0000-0002-3639-0106

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary embolism (PE) requires accurate risk assessment. We investigated the prognostic performance of the National Early Warning Score (NEWS) in emergency department patients with PE.We included patients ≥ 18 years from our PE registry (2017 to 2021), excluding patients after cardiac arrest or intubation before admission. The primary outcome was a composite of 30-day all-cause mortality or the need for advanced therapy (i.e., systemic or catheter-directed thrombolysis). We used logistic regression and the Cox proportional hazards models to estimate associations. The Pulmonary Embolism Severity Index (PESI) and the European Society of Cardiology (ESC) classification served as covariates. The overall score performances were quantified using receiver operating characteristic analysis.We included 524 patients. Each increase in NEWS points increased the odds of the primary outcome by 69% (odds ratio: 1.69, 95% confidence interval [CI]: 1.51-1.89,

Indexed as

Early Warning ScorePulmonary EmbolismAgedAged, 80 and overCardiologyEmergency Service, HospitalFemaleHumansMaleMiddle AgedPrognosisProportional Hazards ModelsRegistriesRisk AssessmentRisk FactorsROC Curve

Identifiers

PMID39993438
PMCPMC12858304

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LicenceCC BY-NC-ND
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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.