Halil KAYA, Mehtap BULUT, Neşe Gül KARABAŞ, Mehmet Oğuzhan AY, Yeşim İŞLER, Bişar SEZGİN, Melih YÜKSEL

Comparison of WBC / MPV Ratio with the Well's Score in Patients with Pulmonary Embolism at Emergency Department

Amaç: Bu çalışmanın amacı acil servise Pulmoner Emboli (PE) şüphesi ile başvuran olgularda WBC/MPV oranın Wells klinik olasılık skoru ile karşılaştırmak ve prognozu belirlemede bir belirteç olarak kullanılıp kullanılamayacağını araştırmaktır. Gereç ve Yöntemler: 01 Eylül 2019 ile 31 Ağustos 2020 arasında acil servise başvuran ve kriterleri karşılayan toplam 111 hasta çalışmaya dâhil edildi. Hastaların PE klinik olasılık değerlendirilmesi için Wells skoru kullanıldı. Wells skorunda ise hastalar düşük, orta ve yüksek riskli olarak 3 gruba ayrıldı. Ayrıca hastaların ilk başvuru hemogramlarından elde edilen WBC/ MPV oranı (WMO) hesaplandı. Bulgular: Çalışmaya dâhil edilen hastaların ortanca yaşı 65 ( IQR 25-75: 57-79) yıldı. Hastaların 56’sı (%50.5) kadın olup, 68’inde ( %61.3) PE saptandı. Ortalama WBC düzeyinin PE tanılı grupta anlamlı derecede farklı olduğu görüldü (p

Comparison of WBC / MPV Ratio with the Well's Score in Patients with Pulmonary Embolism at Emergency Department

Aim: This study aims to compare the WBC / MPV ratio with the Wells clinical probability score in patients admitted to the emergency department with the suspicion of Pulmonary Embolism (PE) and to investigate whether this ratio can be used as a marker in determining prognosis. Material and Methods: A total of 111 patients who presented to the emergency department between 01 September 2019 and 31 August 2020 and met the criteria were included in the study. The Well's score was used to evaluate patients' clinical probability of PE. According to the Wells scores, patients were divided into 3 as low, moderate and high-risk groups. In addition, the WBC / MPV ratio (WMR) obtained from the patients' first admission hemograms were calculated. Results: The median age of the patients in the study was 65 (IQR 25-75: 57-79). 56 of the patients (50.5%) were female and PE was detected in 68 (61.3%). It was observed that the mean WBC level was significantly different in the group with PE (p

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