• Akkan Avci, Serdar Biricik, Begum Seyda Avci, Onder Yesiloglu, Hilmi Erdem Sumbul, Ferhat Icme, Hasan Koca, Hayri Cinar, Mevlut Koc, and Salim Satar.
• Health Science University, Adana City Research and Training Hospital, Department of Emergency Medicine, Adana, Turkey. Electronic address: drakkanavci@gmail.com.
• Am J Emerg Med. 2021 Aug 1; 46: 212-216.

PurposeAim of this study is to investigate effectiveness of the monocyte to HDL cholesterol ratio in patients diagnosed with pulmonary embolism for predicting intra-hospital mortality.MethodA total of 269 patients diagnosed with pulmonary embolism in the emergency clinic were included in the study. Study was conducted retrospectively. Pulmonary Embolism Severity Index (PESI), Monocyte count and high density lipoprotein cholesterol (HDL) values were determined. MHR values of the patients were calculated. SPSS 26 package program was used to investigate the effectiveness of MHR in predicting mortality.FindingsMean age of the patients was 64.51 ± 12.4 years. PESI, Number of monocytes and MHR were significantly higher in the group with mortality than the group without mortality (p < .05). HDL values were significantly lower (p < .05) in mortality group. Sensitivity of MHR 19 cut off value was 89.3%, and its specificity was 82.0%.ConclusionUse of predictors for mortality estimation in patients diagnosed with acute pulmonary embolism is important for faster administration of treatment modalities. We think MHR values can be used as a strong predictor according to the hemogram parameters and biochemical results.Copyright © 2020 Elsevier Inc. All rights reserved.

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