Table 6.
Univariate and multiple Cox regression analyses of PESI predictors for long-term mortality after acute PE*
| 31–90-day mortality** (N=354) | 91-day-1-year mortality** (N=316) | 1–5-year mortality** (N=266) | ||||
|---|---|---|---|---|---|---|
|
|
|
|
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| HR (95% CI) | P *** | HR (95% CI) | P *** | HR (95% CI) | P *** | |
| Univariate regression analysis | ||||||
| Age (1-year increase) | 1.03 (1.00–1.05) | 0.033 | 1.02 (1.00–1.04) | 0.026 | 1.04 (1.03–1.06) | <0.001 |
| Male sex | 0.49 (0.24–1.03) | 0.060 | 1.22 (0.67–2.22) | 0.513 | 0.90 (0.56–1.44) | 0.651 |
| History of cancer | 2.57 (1.31–5.04) | 0.006 | 5.54 (2.96–10.37) | <0.001 | 5.58 (3.49–8.91) | <0.001 |
| History of heart failure | 2.29 (1.07–4.90) | 0.033 | 1.40 (0.63–3.16) | 0.411 | 1.25 (0.64–2.44) | 0.511 |
| History of chronic lung disease | 2.43 (1.22–4.85) | 0.012 | 1.66 (0.85–3.23) | 0.137 | 1.63 (0.96–2.79) | 0.073 |
| Pulse rate ≥110 beats per minute | 2.00 (0.83–4.83) | 0.123 | 0.70 (0.22–2.26) | 0.552 | 0.66 (0.27–1.65) | 0.376 |
| Systolic blood pressure <100 mm Hg | 1.20 (0.37–3.94) | 0.760 | 0.28 (0.04–2.00) | 0.202 | 1.30 (0.59–2.83) | 0.514 |
| Respiratory rate ≥30 per minute | 2.53 (0.77–8.29) | 0.125 | 2.26 (0.70–7.31) | 0.173 | 1.60 (0.50–5.08) | 0.427 |
| Altered mental status | 1.53 (0.54–4.34) | 0.426 | 1.19 (0.43–3.34) | 0.737 | 1.51 (0.69–3.30) | 0.300 |
| Arterial oxygen saturation <90% | 1.94 (0.97–3.87) | 0.061 | 0.63 (0.28–1.41) | 0.260 | 1.61 (0.99–2.64) | 0.057 |
| Multiple regression analysis | ||||||
| Age (1-year increase) | 1.01 (0.99–1.04) | 0.336 | 1.02 (1.00–1.05) | 0.071 | 1.04 (1.02–1.06) | <0.001 |
| Male sex | 0.47 (0.22–1.03) | 0.059 | 0.93 (0.50–1.75) | 0.821 | 0.94 (0.57–1.55) | 0.806 |
| History of cancer | 3.31 (1.64–6.68) | 0.001 | 5.45 (2.86–10.40) | <0.001 | 5.53 (3.41–8.98) | <0.001 |
| History of heart failure | 2.35 (1.04–5.32) | 0.041 | 1.51 (0.63–3.65) | 0.355 | 0.83 (0.40–1.72) | 0.621 |
| History of chronic lung disease | 2.02 (0.93–4.35) | 0.074 | 1.49 (0.73–3.04) | 0.275 | 1.57 (0.87–2.81) | 0.133 |
| Pulse rate ≥110 beats per minute | 1.74 (0.57–5.38) | 0.334 | 0.66 (0.15–2.80) | 0.571 | 0.67 (0.21–1.53) | 0.262 |
| Systolic blood pressure <100 mm Hg | 0.88 (0.21–3.83) | 0.873 | 0.37 (0.04–3.19) | 0.367 | 2.01 (0.82–4.95) | 0.128 |
| Respiratory rate ≥30 per minute | 1.26 (0.31–5.18) | 0.752 | 1.66 (0.40–6.81) | 0.484 | 1.09 (0.33–3.57) | 0.887 |
| Altered mental status | 1.84 (0.55–6.11) | 0.319 | 2.17 (0.72–6.51) | 0.167 | 1.76 (0.78–4.02) | 0.176 |
| Arterial oxygen saturation <90% | 1.33 (0.63–2.81) | 0.463 | 0.53 (0.23–1.27) | 0.156 | 1.05 (0.60–1.84) | 0.874 |
The body temperature criterion could not be evaluated for long-term mortality because any mortality was not observed in patients meeting that parameter and surviving after 30 days
Five patients without follow-up data after 30 days, four patients without follow-up data after 90 days, and seven patients without follow-up data after one year were only included in mortality analysis of the periods with available follow-up data
Bold values indicate statistical significance
N - number of patients with available follow-up information; HR - hazard ratio; CI - confidence interval; PESI - pulmonary embolism severity index