OBJECTIVE To validate the Pulmonary Embolism Severity Index (PESI), a clinical prognostic model which identifies low-risk patients with pulmonary embolism (PE). DESIGN Validation study using prospectively collected data. SETTING A total of 119 European hospitals. SUBJECTS A total of 899 patients diagnosed with PE. INTERVENTION The PESI uses 11 clinical factors to stratify patients with ...

BACKGROUND Hemodynamic status and cardiac function are important factors for predicting pulmonary embolism (PE) prognosis. Although inflammation is considered a risk factor for deep vein thrombosis, the prognostic significance of both systemic inflammatory response syndrome (SIRS) and leukocytosis has not been elucidated. This study evaluates PE prognostic factors, including SIRS and leukocytes...

background heat is a harmful factor in workplaces that causes physiologic and cognitive changes in workers. objectives the purpose of this study was to investigate the effect of cooling vest on heat strain and reaction time while wearing chemical-biological-nuclear protective clothes. methods twelve male students with mean age of 25 ± 2 and body mass index (bmi) of 23 ± 1.5 were recruited in th...

Background It is uncertain whether we can predict contrast-induced nephropathy (CIN) after CT pulmonary angiography (CTPA). This study compared the ability of a validated CIN prediction score with the Pulmonary Embolism Severity Index (PESI) in predicting CIN after CTPA. Methods This cohort study involved critically ill adult patients who required a CTPA to exclude acute pulmonary embolism (P...

The concept of risk-stratification is one of the cornerstones of the recent guidelines on pulmonary embolism (PE), which were issued by the European Society of Cardiology (ESC) and endorsed by the European Respiratory Society [1]. According to these guidelines, patients with PE are divided in three groups with increasing risk of death or adverse outcome following a three-step process that is ba...

abstract introduction: heat stress risk assessment, as a harmful agent at workplace, is essential for controlling heat strain and heat stress effectively. this study is concerned with the relationship between physiological strain index (psi) and wet bulb globe temperature index (wbgt) in women in the climate chamber . methods: this experimental study was carried out on 36 healthy females in sit...

N E W O R L E A N S — The best predictors of in-hospital deterioration of patients diagnosed with acute pulmonary embolism in the emergency department are a shock index greater than 1 and a pulmonary embolism severity index score more than 100, according to data from the EMPEROR registry. The clinical implications: Calculate the pulmonary embolism severity index (PESI) and shock index routinely...