title: Prognostic role of simplified Pulmonary Embolism Severity Index and the European Society of Cardiology Prognostic Model in short- and long-term risk stratification in pulmonary embolism.
abstract: OBJECTIVE
  Hemodynamic status, cardiac enzymes, and imaging-based risk stratification are frequently used to evaluate a pulmonary embolism (PE). This study investigated the prognostic role of a simplified Pulmonary Embolism Severity Index (sPESI) score and the European Society of Cardiology (ESC) model. Methods : The study included 50 patients from the emergency and pulmonology department of one medical center between October 2005 and June 2006. The ability of the sPESI and ESC model to predict short-term (in-hospital) and long-term (6-month and 6-year) overall mortality was assessed, in addition to the accurancy of the sPESI and ESC model in predicting short-term adverse events, such as cardiopulmonary resuscitation, or major bleeding. Results : Of the 50 patients, the in-hospital and 6-year mortality rates were 14% and 46%, respectively. Fifteen (30%) of these experienced adverse events during hospitalization. Importantly, patients classified as low-risk according to the sPESI had no short-term adverse events as opposed to 4.8 % in the ESC low-risk group. They also had no in-hospital, 6-month, or 6-year mortality compared to 4.8%, %14.3, and %23.8, respectively, in the ESC low-risk group.
  
  
  CONCLUSIONS
  The sPESI predicted short-term and long-term survival. The exclusion of short-term adverse events does not appear to require imaging and laboratory testing.
authors: Talat Kilic, Department of Pulmonary Medicine, Inonu University Faculty of Medicine, Turgut Ozal Medical Center, Malatya, Turkey.
authors: Talat
authors: T
authors: Kilic
authors: Hakan Gunen, Department of Pulmonary Medicine, Training and Research Hospital of Ministry of Health, Istanbul, Turkey.
authors: Hakan
authors: H
authors: Gunen
authors: Gazi Gulbas, Department of Pulmonary Medicine, Inonu University Faculty of Medicine, Turgut Ozal Medical Center, Malatya, Turkey.
authors: Gazi
authors: G
authors: Gulbas
authors: Suleyman Savas Hacievliyagil, Department of Pulmonary Medicine, Inonu University Faculty of Medicine, Turgut Ozal Medical Center, Malatya, Turkey.
authors: Suleyman Savas
authors: SS
authors: Hacievliyagil
authors: Ali Ozer, Department of Public Health, Inonu University Faculty of Medicine, Turgut Ozal Medical Center, Malatya, Turkey.
authors: Ali
authors: A
authors: Ozer
keywords: Mortality; Prognostic model; Pulmonary embolism; Risk assessment