Abstract P129: Qanadli Index And SPESI Score Correlation With Echocardiographic Indexes In Patients With Submassive Pulmonary Embolism

Abstract

Introduction: While management and risk stratification of pulmonary embolism (PE) are still unclear, early understanding of the severity of the diseases can help both physician and the patient to set up better milestones. Clinical and obstruction scoring indexes have been utilized as a semi-quantitative measure in numerous settings; however, there has not been a direct comparison reporting mortality and morbidity rates in patients with submissive PE. Here, we mainly focus on the relationship between Qanadli and sPESI indexes with echocardiographic findings in patients with pulmonary emboli. Methods: A total of 200 adult patients who were admitted with diagnosis of PE between January 2014 and March 2019, were retrospectively included in this cross-sectional study. Patients were assessed for Qanadli index, ECG and echocardiographic findings, mortality, and morbidity, and sPESI score. Descriptive, regression and receiver operation characteristic (ROC) analyses were performed. Results: The relationship between total Qanadli score and right ventricle enlargement (p=0.004), McConnel sign (p=0.037), pulmonary artery hypertension (p=0.008), Tricuspid regurgitation severity (p=0.009), pulmonary artery pressure (p=0.006), 4-month follow up Ejection fraction (p=0.006) and systolic blood pressure (p=0.019) were significant. Qanadli score’s performance as a predictor of death with ROC curve (AUC) was found to be %70.11. There was no correlation between Qanadli and sPESI scores. Conclusion: While there were significant relationships between Qanadli score and few of the indicators, the relationship between total Qanadli score and sPESI score and mortality was not significant. Therefore, it might not be a good predictor for mortality and morbidity.