Characteristics | Yes (N = 488) | No (N = 1633) | Overall (N = 2119) | P-Value |
---|---|---|---|---|
Age, mean (SD), years | 57.6 (15.6) | 63.6 (16.8) | 62.2 (16.8) | < 0.001 |
Gender | ||||
Male | 242 (49.6%) | 792 (48.6%) | 1034 (48.8%) | 0.718 |
Female | 246 (50.4%) | 839 (51.4%) | 1085 (51.2%) | |
Race | ||||
American Indian/Alaskan Native | 2 (0.4%) | 21 (1.3%) | 23 (1.1%) | 0.021 |
Asian | 1 (0.2%) | 5 (0.3%) | 6 (0.3%) | |
Black | 189 (38.7%) | 541 (33.2%) | 730 (34.5%) | |
Other | 0 (0%) | 13 (0.8%) | 13 (0.6%) | |
Pacific Islander/Native Hawaiian | 1 (0.2%) | 1 (0.1%) | 2 (0.1%) | |
Unknown | 10 (2.1%) | 37 (2.3%) | 47 (2.2%) | |
White | 285 (58.4%) | 1013 (62.1%) | 1298 (61.3%) | |
Ethnicity | ||||
Non-Hispanic/Latino | 458 (93.9%) | 1512 (92.7%) | 1970 (93.0%) | 0.731 |
Hispanic/Latino | 10 (2.0%) | 44 (2.7%) | 54 (2.5%) | |
Unknown | 20 (4.1%) | 75 (4.6%) | 95 (4.5%) | |
PE severity at PERT activation | ||||
Non-severe submassive | 107 (22.0%) | 899 (55.1%) | 1006 (47.5%) | < 0.001 |
Severe submassive | 276 (56.6%) | 669 (41.0%) | 945 (44.6%) | |
Massive | 105 (21.6%) | 63 (3.9%) | 168 (7.9%) | |
Advanced PE interventions (secondary outcome) | ||||
Systemic thrombolysis | 196 (40.2%) | 0 (0%) | 196 (9.2%) | < 0.001 |
Catheter-directed intervention | 210 (43.0%) | 0 (0%) | 210 (9.9%) | < 0.001 |
Surgical embolectomy | 10 (2.0%) | 0 (0%) | 10 (0.5%) | < 0.001 |
Right ventricular assist device | 0 (0%) | 0 (0%) | 0 (0%) | 1 |
Extracorporeal membrane oxygenation | 13 (2.7%) | 0 (0%) | 13 (0.6%) | < 0.001 |
Other | 5 (1.0%) | 0 (0%) | 5 (0.2%) | < 0.001 |
Total NEWS, mean (SD), points (Range: 0 to 20 points) | 4.8 (3.1) | 3.0 (2.5) | 3.4 (2.8) | < 0.001 |
NEWS2 components | ||||
Initial systolic blood pressure, mean (SD), mmHg | 122 (26.4) | 133 (23.9) | 130 (24.9) | < 0.001 |
Missing | 0 (0%) | 1 (0.1%) | 1 (0.0%) | |
Initial heart rate, mean (SD), beats per minute | 112 (22.2) | 102 (20.7) | 104 (21.4) | < 0.001 |
Missing | 0 (0%) | 1 (0.1%) | 1 (0.0%) | |
Initial respiratory rate, mean (SD), breaths/minute | 22.4 (5.92) | 20.7 (5.79) | 21.1 (5.86) | < 0.001 |
Missing | 0 (0%) | 1 (0.1%) | 1 (0.0%) | |
Temperature, mean (SD), degrees Fahrenheit | 98.0 (0.95) | 98.2 (0.78) | 98.2 (0.83) | < 0.001 |
Missing | 22 (4.5%) | 38 (2.3%) | 60 (2.8%) | |
Initial oxygen pulse oximetry, mean (SD), % | 93.2 (8.02) | 94.6 (6.06) | 94.3 (6.59) | < 0.001 |
Missing | 1 (0.2%) | 2 (0.1%) | 3 (0.1%) | |
Hypercapnic respiratory failure | 0 (0%) | 2 (0.1%) | 2 (0.1%) | 1 |
Supplemental oxygen use | 197 (40.5%) | 447 (27.4%) | 644 (30.4%) | < 0.001 |
Altered mental status | ||||
Alert | 436 (89.3%) | 1563 (95.8%) | 1999 (94.3%) | < 0.001 |
New confusion/altered mental status | 52 (10.7%) | 68 (4.2%) | 120 (5.7%) | |
NEWS2 cut-off of 3 | ||||
< 3 | 110 (22.5%) | 801 (49.1%) | 911 (43.0%) | < 0.001 |
≥ 3 | 378 (77.5%) | 830 (50.9%) | 1208 (57.0%) | |
NEWS2 cut-off of 4 | ||||
< 4 | 178 (36.5%) | 1026 (62.9%) | 1204 (56.8%) | < 0.001 |
≥ 4 | 310 (63.5%) | 605 (37.1%) | 915 (43.2%) | |
NEWS2 cut-off of 5 | ||||
< 5 | 241 (49.4%) | 1214 (74.4%) | 1455 (68.7%) | < 0.001 |
≥ 5 | 247 (50.6%) | 417 (25.6%) | 664 (31.3%) | |
Clinical deterioration during hospitalization (primary outcome) | 163 (33.4%) | 146 (9.0%) | 309 (14.6%) | < 0.001 |
Breakdown of clinical deterioration events during hospitalization | ||||
Cardiac arrest | 83 (17.0%) | 42 (2.6%) | 125 (5.9%) | < 0.001 |
Need for mechanical or positive pressure ventilation | 112 (23.0%) | 86 (5.3%) | 198 (9.3%) | < 0.001 |
Use of vasoactive medication | 135 (27.7%) | 72 (4.4%) | 207 (9.8%) | < 0.001 |
PE-related death | 61 (12.5%) | 64 (3.9%) | 125 (5.9%) | < 0.001 |