Fahrettin Talay1, Tarık Ocak2, Aytekin Alcelik3, Kurşat Erkuran2, Akcan Akkaya4, Arif Duran2, Abdullah Demirhan4, Ozlem Kar Kurt1, Zehra Asuk1. 1. Department of Chest Diseases, Abant Izzet Baysal Medical Faculty, Bolu, Turkey. 2. Department of Emergency Medicine, Abant Izzet Baysal Medical Faculty, Bolu, Turkey. 3. Department of Internal Medicine, Abant Izzet Baysal Medical Faculty, Bolu, Turkey. 4. Department of Anesthesiology and Reanimation, Abant Izzet Baysal Medical Faculty, Bolu, Turkey.
Abstract
OBJECTIVE: To investigate the diagnostic importance of mean platelet volume (MPV) on acute pulmonary embolism (APE) in the emergency Department (ED). METHODS: Subjects were selected from patients admitted to ED with clinically suspected APE. Demographic, anthropometric and serologic data were collected for each patient. RESULTS: A total of 315 consecutive patients were analyzed, including 150 patients (53.44 ± 15.14 y; 92 men/58 women) in APE group and 165 patients (49.80 ±13.76y; 94 men/71 women) in the control group. MPV in the APE group was significantly higher than in the control group (9.42±1.22 fl vs. 8.04±0.89 fl, p<0.0001). The best cut-off values for MPV when predicting APE in patients with clinically suspected APE presenting at the ED were 8.55 fl (sensitivity 82.2%; specificity 52.3%). CONCLUSIONS: MPV is a helpful parameter for the diagnosis of APE in ED, for the first time in the literature.
OBJECTIVE: To investigate the diagnostic importance of mean platelet volume (MPV) on acute pulmonary embolism (APE) in the emergency Department (ED). METHODS: Subjects were selected from patients admitted to ED with clinically suspected APE. Demographic, anthropometric and serologic data were collected for each patient. RESULTS: A total of 315 consecutive patients were analyzed, including 150 patients (53.44 ± 15.14 y; 92 men/58 women) in APE group and 165 patients (49.80 ±13.76y; 94 men/71 women) in the control group. MPV in the APE group was significantly higher than in the control group (9.42±1.22 fl vs. 8.04±0.89 fl, p<0.0001). The best cut-off values for MPV when predicting APE in patients with clinically suspected APE presenting at the ED were 8.55 fl (sensitivity 82.2%; specificity 52.3%). CONCLUSIONS: MPV is a helpful parameter for the diagnosis of APE in ED, for the first time in the literature.
Entities:
Keywords:
Acute pulmonary embolism; emergency department; mean platelet volume; thrombus
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