Evaluation of pan-Immuno-Inflammation value for In-hospital mortality in acute pulmonary embolism patients

Vedat Çiçek, Department of Radiology, Machine and Hybrid Intelligence Lab, Northwestern University, Chicago, IL, United States
Samet Yavuz, Cardiology, Sultan II Abdulhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey
Faysal Şaylık, Department of Cardiology, Van Training and Research Hospital, Health Sciences University, Van, Turkey
Şölen Taşlıçukur, Department of Cardiology, İstanbul Education and Research Hospital, İstanbul, Turkey
Ahmet Öz, Department of Cardiology, İstanbul Education and Research Hospital, İstanbul, Turkey
Mert Babaoğlu, Department of Cardiology, Sultan II Abdulhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey
Almina Erdem, Department of Cardiology, Sultan II Abdulhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey
İrem Yılmaz, Department of Cardiology, Sultan II Abdulhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey
Ulas Bagci, Department of Radiology, Machine and Hybrid Intelligence Lab, Northwestern University, Chicago, IL, United States
Tufan Cinar, Department of Medicine, University of Maryland Midtown Campus, Baltimore, MD, United States

Background: Pan-immuno-inflammation value (PIV) is a new and comprehensive index that reflects both the immune response and systemic inflammation in the body. Objective: The aim of this study was to investigate the prognostic relevance of PIV in predicting in-hospital mortality in acute pulmonary embolism (PE) patients and to compare it with the well-known risk scoring system, PE severity index (PESI), which is commonly used for a short-term mortality prediction in such patients. Methods: In total, 373 acute PE patients diagnosed with contrast-enhanced computed tomography were included in the study. Detailed cardiac evaluation of each patient was performed and PESI and PIV were calculated. Results: In total, 60 patients died during their hospital stay. The multivariable logistic regression analysis revealed that baseline heart rate, N-terminal pro–B-type natriuretic peptide, lactate dehydrogenase, PIV, and PESI were independent risk factors for in-hospital mortality in acute PE patients. When comparing with PESI, PIV was non-inferior in terms of predicting the survival status in patients with acute PE. Conclusion: In our study, we found that the PIV was statistically significant in predicting in-hospital mortality in acute PE patients and was non-inferior to the PESI.

Keywords: Pan-immuno-inflammation value. Acute pulmonary embolism. Pulmonary embolism severity index. In-hospital mortality.