Prognostic performance of the Bova, sPESI, and Qanadli scores in patients with acute pulmonary embolism

• Published in: Acta radiologica (1987) 2024-12, Vol.65 (12), p.1482-1490
• Main Authors: Korkut, Mustafa, Yavuz, Alpaslan, Selvi, Fatih, Zortuk, Ökkeş, İnan, Erdinç Hakan, Güven, Hasan Can
• Format: Article
• Language: English
• Subjects: Acute Disease; Adult; Aged; Aged, 80 and over; Computed Tomography Angiography - methods; Female; Humans; Intensive Care Units; Male; Middle Aged; Prognosis; Pulmonary Embolism - diagnostic imaging; Pulmonary Embolism - mortality; Retrospective Studies; Sensitivity and Specificity; Severity of Illness Index
• ISSN: 0284-1851; 1600-0455; 1600-0455
• DOI: 10.1177/02841851241289693

Background Acute pulmonary embolism (PE) is a disease with a serious prognosis and a high probability of death in the emergency department. Purpose To investigate the prediction of PE-related mortality and intensive care admission (ICU) of Qanadli (Qscore), Bova, and simplified Pulmonary Embolism Severity Index (sPESI) scores. Material and Methods This retrospective observational study consisted of all patients diagnosed with acute PE who were imaged under computed tomography pulmonary angiography (CTPA) for a total of 5 years between 1 June 2018 and 1 June 2023. The prediction of radiological and clinical scores for mortality and ICU admission was examined. Results A total of 95 patients were analyzed. Patients who died and those who were admitted to the ICU had a significantly higher frequency of being found to have a high-risk (≥1) sPESI score (P = 0.04 and P = 0.016, respectively). For mortality, the sPESI score was found to be significant; the sensitivity and specificity were observed as 54% and 66% (area under the curve [AUC]=0.670, 95% confidence interval [CI]=0.527–0.814; P = 0.020). For ICU admission, the sensitivity and specificity of the Qscore, sPESI, and Bova scores were 35%, 77%, and 58%, and 78%, 65%, and 84% respectively (AUC=0.626, 95% CI=0.511–0.740, P = 0.031; AUC=0.769, 95% CI=0.674–0.865, P