Risk of in-hospital mortality in hemodynamically stable patients with pulmonary embolism
This model calculates the risk of in-hospital mortality in hemodynamically stable patients with pulmonary embolism. It can be used to stratify patients into different risk categories for in-hospital mortality.
Research authors: Volschan A, Albuquerque D, Tura BR, Knibel M, Esteves JP, Bodanese LC, Silveira F, Pantoja J, Souza PC, Mansur J, Mesquita ET, and the Estudo Multicêntrico de Embolia Pulmonar (EMEP) investigators.
Version: 1.21
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Total risk score: points

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Result interpretation
In the study group consisting of 582 hemodynamically stable patiens admitted in emergency units or intensive care units with clinically suspected pulmonary embolism, overall in-hospital mortality was 14.1%. After risk stratification, mortalities of 5.4%, 17.8%, and 31.3% were found in the low, moderate and high-risk subgroups, respectively.

Model performance
The model showed 65.5% sensitivity and 80% specificity. The discriminative power of the model was considered adquate with an area under the curve (c-index) of 0.77. 

Source:
Volschan A, Albuqerque D, Tura BR, Knibel M, Esteves JP, Bodanese LC, et al. Predictors of hospital mortality in hemodynamically stable patients with pulmonary embolism. Arq Bras Cardiol. 2009;93(2):135-40.

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This model is provided for educational, training and information purposes. It must not be used to support medical decision making, or to provide medical or diagnostic services. Read our full disclaimer.

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