Application of the RIETE score to identify low-risk patients with pulmonary embolism: From the COMMAND VTE Registry

被引：0

作者：

Tsujisaka, Yuta ^{[1
]}

Yamashita, Yugo ^{[1
,17
]}

Morimoto, Takeshi ^{[2
]}

Takase, Toru ^{[3
]}

Hiramori, Seiichi ^{[4
]}

Kim, Kitae ^{[5
]}

Oi, Maki ^{[6
]}

Akao, Masaharu ^{[7
]}

Kobayashi, Yohei ^{[8
]}

Chen, Po-Min ^{[9
]}

Murata, Koichiro ^{[10
]}

Tsuyuki, Yoshiaki ^{[11
]}

Nishimoto, Yuji ^{[12
]}

Sakamoto, Jiro ^{[13
]}

Togi, Kiyonori ^{[14
]}

Mabuchi, Hiroshi ^{[15
]}

Takabayashi, Kensuke ^{[16
]}

Kato, Takao ^{[1
]}

Ono, Koh ^{[1
]}

Kimura, Takeshi ^{[16
]}

机构：

[1] Kyoto Univ, Grad Sch Med, Dept Cardiovasc Med, Kyoto, Japan

[2] Hyogo Coll Med, Dept Clin Epidemiol, Nishinomiya, Japan

[3] Kinki Univ Hosp, Dept Cardiol, Osaka, Japan

[4] Kokura Mem Hosp, Dept Cardiol, Kokura, Japan

[5] Kobe City Med Ctr Gen Hosp, Dept Cardiovasc Med, Kobe, Japan

[6] Japanese Red Cross Otsu Hosp, Dept Cardiol, Otsu, Japan

[7] Natl Hosp Org Kyoto Med Ctr, Dept Cardiol, Kyoto, Japan

[8] Osaka Red Cross Hosp, Dept Cardiovasc Ctr, Osaka, Japan

[9] Osaka Saiseikai Noe Hosp, Dept Cardiol, Osaka, Japan

[10] Shizuoka City Shizuoka Hosp, Dept Cardiol, Shizuoka, Japan

[11] Shimada Municipal Hosp, Div Cardiol, Shimada, Japan

[12] Hyogo Prefectural Amagasaki Gen Med Ctr, Dept Cardiol, Amagasaki, Japan

[13] Tenri Hosp, Dept Cardiol, Tenri, Japan

[14] Kinki Univ, Nara Hosp, Div Cardiol, Fac Med, Ikoma, Japan

[15] Koto Mem Hosp, Dept Cardiol, Higashiomi, Japan

[16] Hirakata Kohsai Hosp, Dept Cardiol, Hirakata, Japan

[17] Kyoto Univ, Grad Sch Med, Dept Cardiovasc Med, 54 Shogoin Kawahara Cho,Sakyo Ku, Kyoto 6068507, Japan

来源：

THROMBOSIS RESEARCH | 2023年 / 232卷

关键词：

Pulmonary embolism; Mortality; Recurrence; Bleeding; Risk; RIETE; NATIONAL TRENDS; OUTPATIENT; HOSPITALIZATION; IDENTIFICATION; VALIDATION; MANAGEMENT; OUTCOMES; THERAPY;

D O I：

10.1016/j.thromres.2023.10.015

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: The RIETE score could be specifically useful for identification of low-risk pulmonary embolism (PE) patients for home treatment. However, the external validation of the RIETE score has been limited.Methods: The COMMAND VTE Registry is a multicenter registry enrolling consecutive patients with acute symptomatic venous thromboembolism (VTE). The current study population consisted of 1479 patients with acute PE, who were divided into 2 groups; RIETE scores of 0 (N = 260) and >= 1 (N = 1219).Results: The cumulative 10-day and 30-day incidences of a composite endpoint of all-cause death, recurrent PE, or major bleeding were lower in patients with the RIETE score of 0 than in those with the RIETE score of >= 1 (10day: 0.4 % vs. 6.7 %, P < 0.001, and 30-day: 0.4 % vs. 10.0 %, P < 0.001). The area under the receiver-operating characteristic curve (AUC) in the RIETE score for the 10-day composite endpoint showed numerically better predictive ability than that in the sPESI score (0.77 vs. 0.73, P = 0.07), and the AUC in the RIETE score for the 30-day composite endpoint showed significantly better predictive ability than that in the sPESI score (0.77 vs. 0.71, P = 0.003).

引用

页码：35 / 42

页数：8

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