ISSN 1016-5169 | E-ISSN 1308-4488
A Novel Determinant of Prognosis in Acute Pulmonary Edema: Intermountain Risk Score [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2024; 52(8): 561-566 | 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


OBJECTIVE
The Intermountain Risk Score (IMRS), calculated using age, gender, complete blood count (CBC), and simple laboratory analyses, is an easy-to-use and cost-effective tool developed to predict 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 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 comprised 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 Receiver Operating Characteristic (ROC) analysis, a cutoff value of 15.5 for the IMRS predicted both 1-year and 1-month mortality. In the Kaplan-Meier analysis, the highest mortality risk was observed in the high IMRS group and the lowest mortality risk in the low IMRS group.


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

Keywords: Acute pulmonary edema, intermountain risk score, mortality

Corresponding Author: Raif Kılıç
Manuscript Language: English
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Journal Citation Indicator: 0.18
CiteScore: 1.1
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SCImago Journal Rank: 0.348

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