11. Value of Hestia and sPESI scores in prognosis of 30-day mortality in patients with acute pulmonary embolism
Main Article Content
Abstract
The objective of this study was to compare the prognostic value of within 30-day mortality of Hestia and sPESI scores in patients with acute pulmonary embolism in Vietnam. This was a retrospective descriptive study of 147 patients. During the follow-up period, the overall 30-day mortality rate was 11.6% and the PE-related mortality rate was 3.4%. The two methods sPESI and Hestia together classified 23.8% of patients into the low-risk group with a mortality rate of 0% in this group. The negative predictive value (NPV) and sensitivity for all-cause mortality were 97.14% and 94.12% respectively by sPESI. These values for Hestia were 91.43% and 83.35%, respectively. For PE-related mortality, the two methods share the same sensitivity and negative predictive value of 100%. The predictive value of 30-day all-cause mortality in patients with acute pulmonary embolism of the sPESI model is better than that of the Hestia model.
Article Details
Keywords
acute pulmonary embolism, mortality, Hestia model, sPESI model
References
2. Haley MP. Overview of venous thromboembolism. Am J Manag Care. 2017; 23:S376 - S382.
3. Goldhaber SZ, Visani L, De Rosa M. Acute pulmonary embolism: Clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet Lond Engl. 1999;353(9162):1386-1389. doi: 10.1016/s0140-6736(98)07534-5.
4. Stavros V K, Guy M, Cecilia B, Héctor B, Geert-Jan G, Veli-Pekka H, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). European Heart Journal. 2020 Jan 21;41(4):543-603. doi: 10.1093/eurheartj/ehz405.
5. Giordano NJ, Jansson PS, Young MN, Hagan KA, Kabrhel C. Epidemiology, pathophysiology, stratification, and natural history of pulmonary embolism. Tech Vasc Interv Radiol. 2017;20(3):135-140. doi: 10.1053/j.tvir.2017.07.002.
6. Zondag W, den Exter PL, Crobach MJT, et al. Comparison of two methods for selection of out of hospital treatment in patients with acute pulmonary embolism. Thromb Haemost. 2013;109(01):47-52. doi: 10.1160/TH12-07-0466.
7. Nguyễn Văn Trí, Đinh Thị Thu Hương, Nguyễn Thanh Hiền, và cs. Khuyến cáo về chẩn đoán, điều trị và dự phòng thuyên tắc huyết khối tĩnh mạch. Hội Tim mạch học Quốc gia Việt Nam; 2016.
8. Stein PD, Beemath A, Matta F, et al. Clinical characteristics of patients with acute pulmonary embolism: Data from PIOPED II. Am J Med. 2007;120(10):871-879. doi: 10.1016/j.amjmed.2007.03.024.
9. Hoàng Bùi Hải, Đỗ Doãn Lợi, Nguyễn Đạt Anh. So sánh mô hình PESI kinh điển và mô hình PESI giản lược để tiên lượng tử vong trong tháng đầu tiên do tắc động mạch phổi cấp. Tạp chí Nghiên cứu Y học. 2014;Phụ trương 91(5):42-5.
10. Vanni S, Becattini C, Nazerian P, et al. Early discharge of patients with pulmonary embolism in daily clinical practice: A prospective observational study comparing clinical gestalt and clinical rules. Thromb Res. 2018;167:37-43. doi: 10.1016/j.thromres.2018.05.008.
11. Quezada CA, Bikdeli B, Villén T, et al. Accuracy and interobserver reliability of the simplified pulmonary embolism severity index versus the hestia criteria for patients with pulmonary embolism. Acad Emerg Med. 2019;26(4):394-401. doi: 10.1111/acem.13561.
12. Trần Sơn Hải, Hoàng Bùi Hải, Phạm Mạnh Hùng. Vai trò độc lập của thang điểm PESI giản lược trong tiên lượng tử vong 30 ngày ở bệnh nhân Tắc động mạch phổi cấp. Tạp chí Tim mạch học Việt Nam. 2019;số 90:tr.134-40.