External validation of prognostic rules for early post-pulmonary embolism mortality: assessment of a claims-based and three clinical-based approaches.-临床诊疗知识库

External validation of prognostic rules for early post-pulmonary embolism mortality: assessment of a claims-based and three clinical-based approaches.

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作者：

Erin R, Weeda；Christine G, Kohn；Gregory J, Fermann；W Frank, Peacock；Christopher, Tanner；Daniel, McGrath；Concetta, Crivera；Jeff R, Schein；Craig I, Coleman

来源：

Thrombosis journal 2016 年 14卷

标签：

Mortality Prognosis Pulmonary embolism Risk assessment Severity of illness index

Studies show the In-hospital Mortality for Pulmonary embolism using Claims daTa (IMPACT) rule can accurately identify pulmonary embolism (PE) patients at low-risk of early mortality in a retrospective setting using only claims for the index admission. We sought to externally validate IMPACT, Pulmonary Embolism Severity Index (PESI), simplified PESI (sPESI) and Hestia for predicting early mortality.We identified consecutive adults admitted for objectively-confirmed PE between 10/21/2010 and 5/12/2015. Patients undergoing thrombolysis/embolectomy within 48 h were excluded. All-cause in-hospital and 30 day mortality (using available Social Security Death Index data through January 2014) were assessed and prognostic accuracies of IMPACT, PESI, sPESI and Hestia were determined.Twenty-one (2.6

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