Evaluation of the Effect of Thrombolytic Therapy on Inflammatory Markers in Patients With Acute Pulmonary Embolism
2024

Thrombolytic Therapy and Inflammatory Markers in Acute Pulmonary Embolism

Sample size: 138 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Kaleli Muhammed Fatih, Sahin Ahmet T, Alsancak Yakup

Primary Institution: Necmettin Erbakan University

Hypothesis

This study aimed to evaluate the effects of thrombolytic therapy on inflammatory markers in patients diagnosed with acute pulmonary embolism.

Conclusion

The study found that inflammatory markers like SII, NLR, and MII-1 are elevated in acute pulmonary embolism and decrease after thrombolytic therapy, suggesting their potential use in monitoring treatment effectiveness.

Supporting Evidence

  • Levels of CRP, WBC, SII, NLR, and MII-1 were significantly increased in the pulmonary embolism group compared to the control group.
  • Post-thrombolytic treatment levels of CRP, WBC, neutrophils, lymphocytes, hemoglobin, SII, NLR, and MII-1 were significantly lower compared to pre-thrombolytic treatment levels.
  • The study suggests that SII, NLR, and MII-1 could be useful for monitoring treatment effectiveness.

Takeaway

This study looked at how a treatment for blood clots affects certain markers in the body that show inflammation, finding that the treatment helps lower these markers.

Methodology

The study was conducted retrospectively on 138 individuals, comparing inflammatory markers before and after thrombolytic therapy.

Potential Biases

The study may have bias risks due to its retrospective design and the exclusion of certain patient data.

Limitations

The study's limitations include its single-center design, retrospective nature, and a relatively small sample size.

Participant Demographics

56.5% female, 43.5% male; 72.5% had diabetes, 61.5% had hypertension, 84.7% had chronic kidney disease.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7759/cureus.74926

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