Description

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)

 


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