Risk stratification of emergency pulmonary embolism according to the s-PESI score

Introduction Venous thromboembolism (VTE) is a common pathology. The clinical presentation of pulmonary embolism (PE) is sometimes poor and requires the use of stratification scores for mortality risk. The s-PESI score has excellent sensitivity and a strong negative predictive value of the 30-day mortality. The main objective of our study was to evaluate the mortality at 6 months and 1 year of pulmonary embolism based on S-PESI score calculated at the emergency department during diagnosis. Methods We performed a retrospective, single-center study of patients admitted to our university hospital emergency department for PE. The s-PESI score was calculated at admission during PE diagnosis. Results Of the 379 patients included, 261 (68%) were classified s-PESI ≥ 1 and 118 (32%) s-PESI = 0. The s-PESI = 0 group compared to s-PESI ≥ 1 was younger [56.8 years ± 15.6 vs. 76.5 years ± 14.4; (P  Conclusion Our retrospective study has shown that the s-PESI score items most predictive for mortality appear to be the presence of cancer at diagnosis and presentation with an oxygen saturation of less than 90% at admission. The use of a composite criterion with troponin and BNP include may be of interest in long-term stratification.