Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
Mortality Related Risk Factors in High-Risk Pulmonary Embolism in the ICU
Canadian Respiratory Journal · Ocak 2016
YÖKSİS Kayıtları
Mortality Related Risk Factors in High-Risk Pulmonary Embolism in the ICU
Canadian Respiratory Journal · 2016 SCI-Expanded
PROFESÖR RECAİ ERGÜN →
Makale Bilgileri
DergiCanadian Respiratory Journal
Yayın TarihiOcak 2016
Cilt / Sayfa2016
Scopus ID2-s2.0-85006142654
Erişim🔓 Açık Erişim
Özet
Introduction. We sought to identify possible risk factors associated with mortality in patients with high-risk pulmonary embolism (PE) after intensive care unit (ICU) admission. Patients and Methods. PE patients, diagnosed with computer tomography pulmonary angiography, were included from two ICUs and were categorized into groups: group 1 high-risk patients and group 2 intermediate/low-risk patients. Results. Fifty-six patients were included. Of them, 41 (73.2%) were group 1 and 15 (26.7%) were group 2. When compared to group 2, need for vasopressor therapy (0 vs 68.3%; p<0.001) and need for invasive mechanical ventilation (6.7 vs 36.6%; p=0.043) were more frequent in group 1. The treatment of choice for group 1 was thrombolytic therapy in 29 (70.7%) and anticoagulation in 12 (29.3%) patients. ICU mortality for group 1 was 31.7% (n=13). In multivariate logistic regression analysis, APACHE II score >18 (OR 42.47 95% CI 1.50-1201.1), invasive mechanical ventilation (OR 30.10 95% CI 1.96-463.31), and thrombolytic therapy (OR 0.03 95% CI 0.01-0.98) were found as independent predictors of mortality. Conclusion. In high-risk PE, admission APACHE II score and need for invasive mechanical ventilation may predict death in ICU. Thrombolytic therapy seems to be beneficial in these patients.
Yazarlar (9)
1
Begüm Ergan
ORCID: 0000-0003-2920-9214
2
Recai Ergün
3
Taner çalişkan
4
Kutlay Aydin
5
Murat Emre Tokur
6
Yusuf Savran
7
Uğur Koca
8
Bilgin Cömert
ORCID: 0000-0002-2148-5356
9
Necati Ali Gökmen
ORCID: 0000-0002-3225-7666
Kurumlar
Dokuz Eylül Üniversitesi
Izmir Turkey
T. C. Sağlık Bakanlığı Ankara Diskapi Yildirim Beyazit Eğitim ve Araştirma Hastanesi
Ankara Turkey
Metrikler
16
Atıf
9
Yazar