• Am. J. Med. Sci. · Jul 2024

    The Prognostic Value of the MAGGIC risk score in patients with Acute Pulmonary Embolism.

    • Inanc Artac, Dogan Ilis, Muammer Karakayali, Timor Omar, Ayca Arslan, Ihsan Topaloğlu, Yavuz Karabag, Suleyman Karakayon, and Ibrahim Rencuzogullari.
    • Kafkas University Faculty of Medicine Department of Cardiology Kars Turkey. Electronic address: inancartac@hotmail.com.
    • Am. J. Med. Sci. 2024 Jul 31.

    ObjectivesAcute pulmonary embolism (PE) is a potentially life-threatening condition characterized by the sudden blockage of the pulmonary arteries. Although the MAGGIC risk score has emerged as a valuable tool in predicting outcomes in patients with chronic heart failure, it has also been demonstrated and identified as a prognostic model in various cardiac diseases other than heart failure. In this study, we aimed to investigate the relationship between MAGGIC score and adverse outcomes in patients with PE.Materials And MethodsA total of 302 consecutive patients diagnosed with acute PE were retrospectively included in the present study. For each patient, the MAGGIC score was calculated. The study population was divided into two groups according to the median value of MAGGIC score.ResultsPatients with high MAGGIC score had a significantly higher proportion of elderly and female individuals, lower BMI, higher presence of CAD, DM, AFib, HF, HT, CKD, COPD, and ACEI/ARB and NOAC usage. Logistic regression analyses was carried out using univariate and multivariate analysis to predict the in-hospital and 30-day mortality predictors in the included PE patients. For in-hospital mortality, diastolic blood pressure, heart rate, RV dilatation, and the MAGGIC score (HR: 1.166, 95 % CI 1.077-1.263, p < 0.001) and for short-term mortality, sPESI and the MAGGIC score (HR: 1.925, 95 % CI 1.243-2.983, p:0.003) were found to be independent predictors for adverse outcomes in patients with acute PE.ConclusionOur study demonstrates that the MAGGIC score can be applied as a valuable prognostic tool for acute pulmonary embolism.Copyright © 2024 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

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