Author/Authors :
Talay, Fahrettin Abant Izzet Baysal Medical Faculty - Medical Faculty - Department of Chest Diseases, Turkey , Ocak, Tarık Abant Izzet Baysal Medical Faculty - Department of Emergency Medicine, Turkey , Alcelik, Aytekin Abant Izzet Baysal Medical Faculty - Department of Internal Medicine, Turkey , Erkuran, Kurşat Abant Izzet Baysal Medical Faculty - Department of Emergency Medicine, Turkey , Akkaya, Akcan Abant Izzet Baysal Medical Faculty - Department of Anesthesiology and Reanimation, Turkey , Duran, Arif Abant Izzet Baysal Medical Faculty - Department of Emergency Medicine, Turkey , Demirhan, Abdullah Abant Izzet Baysal Medical Faculty - Department of Anesthesiology and Reanimation, Turkey , Kurt, Ozlem Kar Abant Izzet Baysal Medical Faculty - Department of Chest Diseases, Turkey , Asuk, Zehra Abant Izzet Baysal Medical Faculty - Department of Chest Diseases, 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 signifi cantly 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.
Keywords :
Acute pulmonary embolism , emergency department , mean platelet volume , thrombus.
