JOPIC
Journal of Pulmonology and Intensive Care

The JoPIC is an independent-unbiased, peer-reviewed, and open-access journal of current national and international issues and reviews for original clinical and experimental research, interesting case reports, surgical techniques, differential diagnoses, editorial opinions, letters to the editor, and educational papers in pulmonology, thoracic surgery, occupational diseases, allergology, and intensive care medicine.

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Original Article
Determinants of survival in acute pulmonary thromboembolism: real-life data from a 3-level health institution
Abstract
Aims: Given that pulmonary thromboembolism is a prevalent cause of cardiovascular mortality, identifying quick and accessible diagnostic-prognostic markers for pulmonary thromboembolism may significantly contribute to mortality reduction. In this study, we aimed to determine to what extent diagnosis-prognosis markers of patients are predictive of survival, based on real-life data.
Methods: Data from patients hospitalized with the diagnosis of pulmonary thromboembolism were retrospectively investigated. The demographic, clinical, and radiological findings were analyzed. Probability, severity, and mortality score determinations of patients with acute PE were analyzed using the Charlson Comorbidity Index, Pulmonary Embolism Severity Index, and Simplified Pulmonary Embolism Severity Index scores
Results: The data of 300 patients were evaluated. The mortality rate was 11%. The patients' mean age was higher in the mortality group (p=0.035). In-hospital mortality was 7.3%, highest in the 9th and 6th decades (p=0.025 and p=0.036). The mortality rate was 26.6% in patients with thrombus in the pulmonary artery trunk (p=0.01). The presence of right heart strain on echocardiography was associated with mortality. (p<0.05). The mean Pulmonary Embolism Severity Index and Simplified Pulmonary Embolism Severity Index scores also showed an important difference between survival groups (p=0.028 and p=0.021). The Charlson Comorbidity Index score had a higher mean in the mortality group, but the difference was not statistically important (p>0.05). Mortality frequency in the “high 30-day early mortality risk group” was significantly higher than others (p=0.02).
Conclusion: Demographic and clinical characteristics are closely related to the survival of patients with pulmonary thromboembolism. An individual approach to patients diagnosed with pulmonary thromboembolism will provide management above all scores.

Keywords : Demographic, risk, Pulmonary Embolism Severity Index, Charlson Comorbidity Index, prognosis

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Article available in :
Volume 3, Issue 4, 2025
Page : 102-107
https://doi.org/10.51271/JOPIC-0068
Article Information
Received : 03 Kas 2025
Accepted : 24 Kas 2025
Published : 29 Kas 2025
Corresponding Author :

Hatice Çetin Doğan: Department of Pulmonology, Yenimahalle Training and Research Hospital, Ankara, Turkiye

[email protected]
Citation : Çetindoğan H, Öcal N, Doğan D, Taşçı C, Arslan Y, Doğan D. Determinants of survival in acute pulmonary thromboembolism: real-life data from a 3-level health institution. J Pulmonol Intens Care. 2025;3(4):102-107.

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