ISSN 1016-5169 | E-ISSN 1308-4488
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A Novel Determinant of Prognosis in Acute Pulmonary Edema: Intermountain Risk Score [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-54679 | DOI: 10.5543/tkda.2024.54679

A Novel Determinant of Prognosis in Acute Pulmonary Edema: Intermountain Risk Score

Raif Kılıç1, Adem Aktan2, Tuncay Güzel3, Ahmet Ferhat Kaya4, Hamdullah Güzel5, Bayram Arslan6, Mehmet Ali Işık6, Mehmet Sait Coşkun7, Yusuf Çankaya8
1Department of Cardiology, Çermik State Hospital, Diyarbakır, Türkiye
2Department of Cardiology, Mardin Artuklu University Medical Faculty, Mardin, Türkiye
3Department of Cardiology, Health Science University, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Türkiye
4Department of Cardiology, Muş State Hospital, Muş, Türkiye
5Department of Cardiology, Düzce University Faculty of Medicine, Düzce, Türkiye
6Department of Cardiology, Mardin Training and Research Hospital, Mardin, Türkiye
7Department of Cardiology, Ergani State Hospital, Diyarbakır, Türkiye
8Department of Emergency Medicine, Çermik State Hospital, Diyarbakır, Türkiye


BACKGROUND
The Intermountain Risk Score (IMRS), calculated using age and gender parameters as well as complete blood count (CBC) and some simple laboratory analyses, is simple and inexpensive to use and was developed for the purpose of predicting mortality. In our study, we aimed to determine whether the IMRS could predict mortality in patients admitted to the hospital with a diagnosis of acute pulmonary edema.

METHODS
A total of 371 patients who were admitted to three centers between 01.01.2020 and 01.06.2022, with a diagnosis of pulmonary edema were included in our study. The IMRS of the patients was determined using a calculation tool, and the patients were divided into three groups based on the determined value: low, moderate, and high IMRS.

RESULTS
The patients included in our study were 208 women and 163 men, with an average age of 68.7 years. There was a statistically significant difference between the patient groups concerning both 1-month and 1-year mortality rates. Additionally, there was a significant difference in IMRS between patients who developed in-hospital, 1-month, and 1-year mortality and those who survived. In the ROC analysis, a cutoff value of 15.5 for the IMRS predicted both 1-year and 1-month mortality. In Kaplan-Meier analysis, the highest mortality risk was observed in the IMRS high group and the lowest mortality risk was observed in the IMRS low group.

CONCLUSIONS
Our research results show that IMRS strongly predicts both short- term and long-term mortality in patients hospitalized with a diagnosis of acute pulmonary edema

Keywords: Acute pulmonary edema, ıntermountain risk score, mortality

How to cite this article


Corresponding Author: Raif Kılıç
Manuscript Language: English


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