+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Role of three commonly used scoring systems in prediction of pulmonary thromboembolism in Xining area



Role of three commonly used scoring systems in prediction of pulmonary thromboembolism in Xining area



European Review for Medical and Pharmacological Sciences 18(22): 3517-3520



To analyze the clinical values of three commonly used scoring systems including Wells score, revised Geneva score and Pisa score in predicting pulmonary thromboembolism (PTE) in Xining area. A total of 67 patients who had received CT pulmonary angiography (CTPA) in Qinghai Provincial People's Hospital from January 1, 2008 to July 31, 2010 due to suspected acute PTE were enrolled in this study. Among them 30 were confirmed to be with acute PTE and 37 were excluded. The risk of PTE was evaluated using the Wells score, the revised Geneva score, and Pisa score in all these patients. Clinical values of these scoring systems in diagnosis of PTE were compared using the receiver operating characteristic (ROC) curves; and CTPA values as the standard. The diagnostic accuracies were also compared. The probability of PTE was 33.3% (14/42) when the Wells score was <2, 89.47% (17/19) when the Wells score was 2-6, and 100% (6/6) when the Wells score was above 6. The probability of PTE was 31.71% (13/40) when the revised Geneva score was 0-3, 85.0% (17/20) when the revised Geneva score was 4-10, and 100% (7/7) when the revised Geneva score was ≥11, suggesting that PTE might be associated with the revised Geneva score (p<0.001). When Pisa score was used, the probability of PTE was 20.59% (7/34), at ≥10%, 76.92% (10/13), at 10% to 90%, and 100% (20/20) at >90% score. The AUCs for all three scoring systems showed significant differences (p<0.05). Thus, the Pisa score showed a relatively higher clinical value in Xining area to predict clinical probability of PTE in patients, with its overall sensitivity and specificity being higher than the Wells and revised Geneva score.

(PDF emailed within 1 workday: $29.90)

Accession: 058791574

Download citation: RISBibTeXText

PMID: 25491630


Related references

Intensive care unit scoring systems outperform emergency department scoring systems for mortality prediction in critically ill patients: a prospective cohort study. Journal of Intensive Care 2(): 40-40, 2014

Scoring systems for prediction of mortality in patients with intensive care unit-acquired sepsis: a comparison of the Pitt bacteremia score and the Acute Physiology and Chronic Health Evaluation II scoring systems. Shock 31(2): 146-150, 2008

Severity scoring in the critically ill: part 2: maximizing value from outcome prediction scoring systems. Chest 141(2): 518-527, 2012

Severity scoring in the critically ill: part 1--interpretation and accuracy of outcome prediction scoring systems. Chest 141(1): 245-252, 2012

The Role of Scoring Systems and Urine Dipstick in Prediction of Rhabdomyolysis-induced Acute Kidney Injury: a Systematic Review. Iranian Journal of Kidney Diseases 10(3): 101-106, 2016

Etiology of pulmonary thromboembolism in the absence of commonly recognized risk factors. American Journal of Forensic Medicine and Pathology 24(4): 329-333, 2003

Predicting patient outcomes, futility, and resource utilization in the intensive care unit: the role of severity scoring systems and general outcome prediction models. Mayo Clinic Proceedings 80(2): 161-163, 2005

Comparison of three clinical scoring methods in patients with pulmonary thromboembolism. Tuberkuloz Ve Toraks 57(2): 163-168, 2010

Commonly used prognostic scoring systems are not adequate to predict the outcome of papillary microcarcinomas of the thyroid. Pediatric Blood & Cancer 50(6): 1288-9; Author Reply 1289, 2008

A new echocardiographic scoring of pulmonary valve for the prediction of the outcome of balloon pulmonary valvuloplasty in children. European Heart Journal 18(ABSTR SUPPL ): 655, 1997

Performance of commonly used scoring systems in predicting survival to hospital discharge for patients with pcp related acute respiratory failure arf requiring icu admission. Istituto Superiore Di Sanita Vii International Conference on Aids: Science Challenging Aids; Florence, Italy, June 16-21, 464p (Vol 1); 460p (Vol 2) Istituto Superiore Di Sanita: Rome, Italy Paper : 237b, 1991

Incidence and clinical characteristics of chronic pulmonary thromboembolism in Japan compared with acute pulmonary thromboembolism: results of a multicenter registry of the Japanese Society of Pulmonary Embolism Research. Circulation Journal 66(3): 257-260, 2002

Insidious pulmonary fibrosis occurring at the hypoperfusion area in a patient with chronic pulmonary thromboembolism. Internal Medicine 47(8): 769-772, 2008

Scoring systems for prediction of mortality in critical trauma. American Journal of Surgery 167(6): 622-623, 1994

Correlation between the embolism area and pulmonary arterial systolic pressure as an indicator of pulmonary arterial hypertension in patients with acute pulmonary thromboembolism. European Review for Medical and Pharmacological Sciences 18(17): 2551-2555, 2015