Evidence map›Paper›PMID 41382198›Full record

ArticleEuropean journal of medical research2025

Association between clinical parameters and severity of acute pulmonary embolism: a retrospective study.

Xiaoming Li, Yukun Li, Wenjing Ye, Xi Chen, Xuejun Guo, Wen Gu

Abstract read
In one paragraph

Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xiaoming Li *Department of Respiratory Medicine, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 1665, Kongjiang Road, Shanghai, 200092, China. lixiaoming13734@126.com.
Yukun Li *Department of Respiratory Medicine, Qilu Hospital of Shandong University Dezhou Hospital (Formerly Dezhou People's Hospital), 1751 Xinhu Road, Dezhou, 253000, Shandong, China.
Wenjing YeDepartment of Respiratory Medicine, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 1665, Kongjiang Road, Shanghai, 200092, China.
Xi ChenDepartment of Respiratory Medicine, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 1665, Kongjiang Road, Shanghai, 200092, China.
Xuejun GuoDepartment of Respiratory Medicine, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 1665, Kongjiang Road, Shanghai, 200092, China.
Wen GuDepartment of Respiratory Medicine, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 1665, Kongjiang Road, Shanghai, 200092, China. guwen@xinhuamed.com.cn.

Funding

Natural Science Foundation of Shanghai Science and Technology Commission 22Y11901700
6 · The paper itself

Abstract

backgroundAcute pulmonary embolism (APE) is the third most frequent life-threatening cardiovascular disease. Which clinical parameters correlate with APE severity are still unclear. This study aimed to investigate the association between clinical parameters and APE severity, and to detect the parameters that could predict severe (intermediate high- and high-risk) APE.

methodsClinical data from 612 hospitalized APE patients from two centres in China were collected. Univariate or multivariate ordinal logistic regression analyses were used to detect the relationship between clinical parameters and APE severity. Receiver-operating characteristic (ROC) curves were used to calculate the predictive values of single or combined parameters in predicting severe APE or 30-day mortality in a discovery cohort (n = 368) and a validation cohort (n = 244).

resultsAge (odds ratio [OR], 1.462; 95% confidence interval [CI]: 1.241-1.723, P < 0.0001), coronary atherosclerotic heart disease (CAD) (OR, 3.103; 95% CI 1.946-4.950, P < 0.0001), total affected arteries (OR,1.365; 95%CI 1.201-1.551, P < 0.0001) and D-dimer (OR, 1.071; 95% CI 1.039-1.104, P < 0.0001) were independently correlated with APE severity. A combination of total affected arteries (TAA) more than 2, CAD, and D-dimer more than 2.99 mg/L represented the largest area under the curves (AUC = 0.860, sensitivity = 75.37%, specificity = 83.76%) in predicting severe APE. For 30-day mortality prediction, older than 77 years combined with TAA more than 2 showed an excellent performance in both the discovery cohort (AUC = 0.838, P < 0.0001) and validation cohort (AUC = 0.776, P < 0.001).

conclusionsPatients with CAD, more than 2 central affected arteries, and D-dimer more than 2.99 mg/L have an increased risk of developing severe APE. Patients older than 77 years with more than 2 central affected arteries suffer an increased risk of death within 30 days of APE.

Indexed as

Pulmonary EmbolismAcute DiseaseAgedChinaFemaleFibrin Fibrinogen Degradation ProductsHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsROC CurveSeverity of Illness IndexFibrin Fibrinogen Degradation Productsfibrin fragment DAcute pulmonary embolismComorbiditiesRadiologyRisk stratificationSeverity

Identifiers

PMID41382198
PMCPMC12801657

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.