UNIVERSI
TÄ
TS-
BIBLIOTHEK
P
ADERBORN
Anmelden
Menü
Menü
Start
Hilfe
Blog
Weitere Dienste
Neuerwerbungslisten
Fachsystematik Bücher
Erwerbungsvorschlag
Bestellung aus dem Magazin
Fernleihe
Einstellungen
Sprache
Deutsch
Deutsch
Englisch
Farbschema
Hell
Dunkel
Automatisch
Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist
gegebenenfalls
nur via VPN oder Shibboleth (DFN-AAI) möglich.
mehr Informationen...
Universitätsbibliothek
Katalog
Suche
Details
Zur Ergebnisliste
Ergebnis 25 von 593
Datensatz exportieren als...
BibTeX
Comparing the pulmonary embolism severity index and the prognosis in pulmonary embolism scores as risk stratification tools
Journal of hospital medicine, 2012-01, Vol.7 (1), p.22-27
Chan, Chee M.
Woods, Christian J.
Shorr, Andrew F.
2012
Details
Autor(en) / Beteiligte
Chan, Chee M.
Woods, Christian J.
Shorr, Andrew F.
Titel
Comparing the pulmonary embolism severity index and the prognosis in pulmonary embolism scores as risk stratification tools
Ist Teil von
Journal of hospital medicine, 2012-01, Vol.7 (1), p.22-27
Ort / Verlag
Hoboken: Wiley Subscription Services, Inc., A Wiley Company
Erscheinungsjahr
2012
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
BACKGROUND: Multiple risk stratification scoring systems exist to forecast outcomes in patients with acute pulmonary embolism (PE). OBJECTIVE: We evaluated the comparative validity of the PE severity index (PESI) and the prognosis in pulmonary embolism (PREP) scores to predict mortality in acute PE. DESIGN: Retrospective observational cohort study. SETTING: Washington Hospital Center, Washington, DC. PATIENTS: Consecutive adults (aged >18 years) diagnosed with acute PE. INTERVENTION: The PESI and PREP scores were calculated. MEASUREMENTS: Raw PESI scores were segregated into risk class (I‐V) and then dichotomized into low (I‐II) versus high (III‐V) risk groups; the raw PREP scores were divided into low (0‐7) versus high (>7) risk groups. The primary endpoint was 30‐day and 90‐day mortality. We determined the negative predictive value and computed the area under the receiver operating characteristics (AUROC) curves to compare the ability of these scoring tools. RESULTS: The cohort consisted of 302 subjects. Thirty‐day mortality was 3.0%, and 4.0% died within 90 days. The PESI and the PREP performed similarly (PESI AUROC: 0.858 [95% confidence interval (CI), 0.773‐0.943] vs 0.719 [95% CI, 0.563‐0.875] for PREP). Segregating these scores into risk categories did not affect their discriminatory power (AUROC: 0.684 [95% CI, 0.559‐0.810] for PESI and 0.790 [95% CI, 0.679‐0.903] for PREP). The negative predictive value for death of being classified as low risk by the PESI or PREP was 100% and 99%, respectively. CONCLUSIONS: The PREP score performed comparably to the PESI score for identifying PE patients at low risk for short‐term and intermediate‐term mortality. Journal of Hospital Medicine 2011;. © 2011 Society of Hospital Medicine
Sprache
Englisch
Identifikatoren
ISSN: 1553-5592
eISSN: 1553-5606
DOI: 10.1002/jhm.932
Titel-ID: cdi_proquest_miscellaneous_1620025014
Format
–
Schlagworte
Adult
,
Aged
,
Cohort Studies
,
Female
,
Humans
,
Male
,
Middle Aged
,
Predictive Value of Tests
,
Prognosis
,
Pulmonary Embolism - diagnosis
,
Pulmonary Embolism - mortality
,
Retrospective Studies
,
Risk Factors
,
Severity of Illness Index
Weiterführende Literatur
Empfehlungen zum selben Thema automatisch vorgeschlagen von
bX