Usability of Saturation/Respiratory Rate as a Parameter In Pulmonary Thromboembolism Risk Scoring

Year 2025, Volume: 26 Issue: 1, 78 - 85, 20.03.2025

Maşide Arı , Eren Usul , Emrah Arı , Fatma Yıldırım , Ali Türker Çiftçi , Ömer Faruk Tüten

https://doi.org/10.69601/meandrosmdj.1594468

Abstract

Objective:The first step of pulmonary thromboembolism(PTE) treatment management is the risk classification.The most commonly used scoring system for this purpose is the pulmonary embolism severity index(PESI).However, the large number of parameters it contains limits its usability.For this reason, Therefore, the need for easily accessible, fast and accurate resulting parameters continues. This study was planned to evaluate the role of Saturation/Respiratory Rate (SPO2/RR) in determining the risk group.
Materials and Methods:This study was conducted retrospectively in patients diagnosed with PTE between XXX. Sociodemographic characteristics, vitals, laboratory results and radiological images of the patients were examined through the in-hospital information management system.
Results:188 patients were included in the study. The average age of the patients was 64.97 years. 107(56.9%) of the patients in the study were women.When patients were divided into groups according to early mortality risk, 35 patients(18.6%) were high risk; 31 patients(16.4%) intermediate-high risk;65 patients(34.5%) were in the intermediate-low risk group and 57 patients(30.5%) were in the low-risk group. SpO2/RR was found 3.29±0.82;3.97±0.60;4.50±0.92;5.00±0.77 respectively(p<0.001). It was determined that SpO2/RR was a guide in determining the risk group.
Conclusions: Saturation/respiratory rate can be used to determine risk groups in acute PTE and is also a guide in determining treatment management and mortality.

Keywords

Mortality, Pulmonary embolism, Saturation/respiratory rate

Pulmoner Tromboembolizm Risk Skorlamasinda Saturasyon/Solunum Hizi Oraninin Bir Parametre Olarak Kullanilabilirliği

Abstract

Amaç: Pulmoner tromboembolizm (PTE) tedavi yönetiminde ilk adım risk sınıflamasıdır. Bu amaçla en yaygın kullanılan skorlama sistemi Pulmoner Emboli Şiddet İndeksi (PESI)'dir. Ancak, içerdiği parametrelerin fazlalığı, kullanımını sınırlamaktadır. Bu nedenle, kolay erişilebilir, hızlı ve doğru sonuç veren parametrelere ihtiyaç devam etmektedir. Bu çalışma, risk grubunun belirlenmesinde Saturasyon/Solunum sayısı (SpO2/SS)'nın rolünü değerlendirmek amacıyla planlanmıştır.
Materyal ve Metot: Bu çalışma, PTE tanısı almış hastalarda retrospektif olarak yürütülmüştür. Hastaların sosyodemografik özellikleri, vital bulguları, laboratuvar sonuçları ve radyolojik görüntüleri hastane bilgi yönetim sistemi üzerinden incelenmiştir.
Bulgular: Çalışmaya toplam 188 hasta dahil edilmiştir. Hastaların yaş ortalaması 64,97 yıl olarak bulunmuştur. Çalışmadaki hastaların 107’si (%56,9) kadın idi. Hastalar erken mortalite riskine göre gruplara ayrıldığında, 35 hasta (%18,6) yüksek risk; 31 hasta (%16,4) orta-yüksek risk; 65 hasta (%34,5) orta-düşük risk; 57 hasta (%30,5) düşük risk grubunda yer aldı. SpO2/RR sırasıyla 3,29±0,82; 3,97±0,60; 4,50±0,92; 5,00±0,77 olarak bulundu (p<0,001). SpO2/SS'nin risk grubunun belirlenmesinde yol gösterici olduğu tespit edildi.
Sonuç: Saturasyon/solunum sayısı oranı, akut PTE’de risk gruplarının belirlenmesinde kullanılabilir ve tedavi yönetimi ile mortalitenin belirlenmesinde yol gösterici bir parametredir.

Keywords

MORTALİTE, PULMONER EMBOLİ, SATURASYON/SOLUNUM SAYISI

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