Objective To analyze the feature of nonsurgical patients with pulmonary thromboembolism assessed by Padua prediction score,in order to complete the evaluation of PTE clinical risks.Methods The clinical data of patients with pulmonary thromboembolism diagnosed at internal department of Ruijin hospital in Shanghai,from January 1,2012 to June 30,2018,were retrospectively collected.Those patients were divided into the low risk group and the high risk group according to Padua prediction score, and then their clinical features were analyzed. Results In total, 159 patients with pulmonary thromboembolism were included in the study. The median score assessed by Padua Prediction Score was (3.3±2.5). 90 patients (56.6%) were divided into the low-risk group, and 69 patients (43.4%) were in the high-risk group. There was no statistical difference in active cancer, obesity and ongoing hormonal treatment between the two groups. Acute infection/ rheumatologic disorder and elderly age in the low-risk/high-risk group ratio were over 0.5. Conclusion In general, the Padua score has limited value in identifying high-risk medical PTE. It has certain value on improving the accuracy of Padua score to further study on the relationship of PTE with active tumor, obesity, acute infection/ rheumatologic disorder and elderly age.
Journal of Clinical Pulmonary Medicine