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Table 1 Clinical characteristics at diagnosis for the 667 patients

From: Leukocytes and systemic inflammatory response syndrome as prognostic factors in pulmonary embolism patients

  

30-day all-cause mortality

Variable

Overall (n = 667)

No (n = 610)

Yes (n = 57)

Pvalue

Age in years, mean (± SD)

66.4 (± 13.3)

66.9 (± 12.9)

67.8 (± 12.8)

0.60

Male, n (%)

295 (44.2%)

264 (43.2%)

31 (54.3%)

0.27

Comorbidity, n (%)

    

Heart failure

75 (11.2%)

64 (10.4%)

11 (19.2%)

0.19

Renal dysfunction

96 (14.3%)

79 (12.9%)

17 (29.8%)

0.001

Cancer

181 (27.1%)

161 (26.3%)

20 (35.0%)

0.15

Previous DVT or PE

49 (7.3%)

46 (7.5%)

3 (5.2%)

0.55

Infection

277 (41.5%)

243 (39.8%)

34 (59.6%)

0.006

Clinical finding, n (%)

    

Hemoptysis

17 (2.5%)

16 (2.6%)

1 (1.7%)

0.91

Chest pain

60 (8.9%)

58 (9.5%)

2 (3.5%)

0.57

Altered mental state*

65 (9.7%)

49 (8.0%)

16 (28.0%)

<0.0001

Systolic blood pressure, mean (± SD), mmHg

121.8 (± 20.6)

123 (± 20.3)

110.5 (± 20.1)

0.0002

Shock

36 (5.3%)

28 (4.5%)

8 (14.0%)

0.0025

Positive spiral CT, n (%)

635 (95)

583 (95)

52 (91)

Main pulmonary artery

247 (37)

220 (36)

27 (47)

Lobar artery

235 (35)

218 (35)

17 (30)

0.429

Segmental artery

146 (22)

136 (22)

100 (17)

Subsegmental artery

7 (1)

6 (1)

1 (2)

Cardiac chamber ratio and cardiac biomarker, mean

    

RV/LV ratio (± SD) n = 635

1.22 (± 0.45)

1.20 (± 0.43)

1.51 (± 0.55)

0.0006

NT Pro-BNP, ng/L (± SD) n = 322

4906 (± 13381)

3637 (± 13523)

8917 (± 10861)

0.045

Systemic inflammatory response

    

Heart rate >90 beats/min

187 (28.0%)

157 (25.7%)

30 (52.6%)

0.0003

Respiratory rate >20 breaths/min

248 (37.1%)

212 (34.7%)

36 (63.1%)

0.001

Body temperature (BT) >38.3°C or <36.0°C, n (%)

15 (2.2%)

10 (1.6%)

5 (8.7%)

0.0005

WBC <4,000 or >12,000 mL, n (%)

196 (29.3%)

169 (27.7%)

27 (47.3%)

0.0018

SIRS ≥ 2

191 (28.6%)

157 (25.7%)

34 (59.6%)

<0.0001

SIRS Score (0–4)

0.29 (± 0.45)

0.27 (± 0.44)

0.52 (± 0.50)

<0.0001

SIRS satisfying the WBC criteria, n (%)

113 (16.9%)

90 (14.7%)

23 (40.3%)

<0.0001

PESI §

95.9 (± 29.1)

93.3 (± 26.5)

122.9 (± 39.4)

<0.0001

  1. SD: standard deviation; DVT: deep vein thrombosis; PE: pulmonary embolism; NT pro-BNP: N-terminal prohormone of brain natriuretic peptide; RV: right ventricle; LV: left ventricle; SIRS: systemic inflammatory response syndrome; WBC: white blood cell.
  2. *Altered mental status was defined as disorientation, stupor, or coma.
  3. Shock was defined as systolic blood pressure < 90 mmHg.
  4. Most proximal anatomic level of pulmonary embolism shown by spiral computed tomography.
  5. §PESI: pulmonary embolism severity index [4].