Kline et al developed a tool for predicting mortality from pulmonary embolism in a patient with cancer. The authors are from multiple hospitals in the United States, Europe and New Zealand.
POMPE-C is an acronym for prediction of mortality from pulmonary embolism in cancer.
Patient selection: cancer and pulmonary embolism
Outcome: mortality
Parameters:
(1) body weight in pounds
(2) maximum respiratory rate in breaths per minute
(3) oxygen saturation in percent on pulse oximetry breathing room air
(4) heart rate in beats per minute
(5) mental status
(6) respiratory distress
(7) do not resuscitate (DNR) status
(8) unilateral limb swelling (leg or arm, new, noticeable asymmetry with contralateral limb)
Continuous Variable |
Points |
---|---|
body weight |
0.0116 * (weight in lbs) |
respiratory rate |
-0.044 * (rate) |
oxygen saturation |
0.063 * (saturation) |
Parameter |
Finding |
Points |
---|---|---|
heart rate |
<= 99 beats per minute |
0 |
|
> 99 beats per minute |
-1.027 |
mental status |
normal |
0 |
|
altered |
-1.473 |
respiratory distress |
absent |
0 |
|
present |
-0.7996 |
DNR status |
no |
0 |
|
yes |
-1.551 |
unilateral limb swelling |
absent |
0 |
|
present |
-0.734 |
X =
= SUM(ponts for the 8 parameters) – 3.718
probability of survival at 30 days =
= 1 / (1 + EXP((-1) * X)))
probability of mortality within 30 days =
= (1 – (probability of survival)
Specialty: Pulmonology
ICD-10: ,