Pulmonary embolism in the ICU: clinical and prognostic signification - can we predict mortality?
2011

Predicting Mortality in ICU Patients with Pulmonary Embolism

Sample size: 64 publication Evidence: moderate

Author Information

Author(s): Aller A, Mourelo M, Vidal P

Primary Institution: University Hospital A Coruña, Spain

Hypothesis

Can we predict mortality in patients with pulmonary embolism admitted to the ICU?

Conclusion

The study found that hemodynamic instability, metabolic acidosis, and ARDS are independent predictors of mortality in ICU patients with pulmonary embolism.

Supporting Evidence

  • 92.1% of patients had higher D-dimer levels.
  • 66.7% had right ventricular dysfunction.
  • 86.1% had pulmonary arterial hypertension.
  • ICU mortality was 14.1%.

Takeaway

Doctors looked at patients with a serious lung problem called pulmonary embolism to see if they could tell who might get really sick or die. They found that some signs, like being unstable or having too much acid in the blood, could help predict this.

Methodology

Retrospective study analyzing patient data over 5 years, using univariate and multivariate analyses.

Limitations

The study is retrospective and may not account for all variables affecting mortality.

Participant Demographics

Mean age was 64 years; 51.6% were women.

Statistical Information

P-Value

P < 0.00

Confidence Interval

CI 0.99 to 1.12

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/cc9436

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