A Retrospective Evaluation of Patients Admitted to Emergency Departments with Pulmonary Thromboembolism

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dc.contributor.authorGuzel, Aygul
dc.contributor.authorYavuz, Yucel
dc.contributor.authorSisman, Bulent
dc.contributor.authorDuran, Latif
dc.contributor.authorAltuntas, Mehmet
dc.contributor.authorMurat, Naci
dc.date.accessioned2026-04-25T14:20:31Z
dc.date.available2026-04-25T14:20:31Z
dc.date.issued2015
dc.departmentSinop Üniversitesi
dc.description.abstractAim: To examine the clinical, radiological, and laboratory findings of pulmonary thromboembolism (PTE) patients who were admitted to our emergency department and to evaluate the effectiveness of clinical diagnosis scores. Materials and Methods: We retrospectively evaluated 33 PTE patients who were referred to our emergency department. Results: The mean age of the patients was 56.2 +/- 18.2 years. The female: male ratio was 1.5. The most common cause of complaints was dyspnoea (51.5%). Risk factors in the majority (39.3%) included immobilisation due to surgery. According to the Wells clinical scoring system, 29 patients (87.8%) had a high probability of PTE; however, 18 of the patients (55.5%) had high probability of PTE according to the modified Geneva score. The estimated rate ratio of high probability of PTE with the Wells score was statistically significant compared with the estimate rate ration with the modified Geneva score (p=0.017). The most common clinical findings included tachypnoea (69.6%) and tachycardia (27.3%). Fifteen (45.4%) patients had pathologic chest X-ray findings. Computed tomographic (CT) angiography most often showed PTE placement of the bilateral pulmonary main branches. While standard low-molecular-weight heparin and warfarin treatment was administered to 27 (81.8%) patients, tissue plasminogen activator (tPA) treatment was administered to 6 (18.2%) patients. Conclusion: The evaluation of clinical, laboratory and radiological findings together in PTE diagnosis is important. It is preferable to use the Wells score for the estimation of clinical probability in patients with suspected PTE.
dc.identifier.doi10.5152/jaem.2015.85619
dc.identifier.endpage11
dc.identifier.issn2149-5807
dc.identifier.issn2149-6048
dc.identifier.issue1
dc.identifier.orcid0000-0003-2655-2367
dc.identifier.orcid0000-0001-5624-968X
dc.identifier.scopusqualityN/A
dc.identifier.startpage8
dc.identifier.urihttps://doi.org/10.5152/jaem.2015.85619
dc.identifier.urihttps://hdl.handle.net/11486/8624
dc.identifier.volume14
dc.identifier.wosWOS:000360001300003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherEmergency Medicine Physicians Assoc Turkey
dc.relation.ispartofEurasian Journal of Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260420
dc.subjectEmergency
dc.subjectpulmonary thromboembolism
dc.subjecttreatment
dc.subjectdiagnosis
dc.titleA Retrospective Evaluation of Patients Admitted to Emergency Departments with Pulmonary Thromboembolism
dc.typeArticle

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