Clifton Clarke

Overweight and obesity does not increase severity of pulmonary embolism.

Obesity defined as body mass index (BMI) ≥30 kg/m2 has been shown to be a risk factor and a prognosticator in many populations. Whether obesity is specifically a prognosticator for pulmonary embolism is not well known. In the present study, 194 patients with BMI between 14 and 88 kg/m2 (44% males mean age 59 ± 18 years, median BMI 30.3 kg/m2) who were diagnosed with PE were included in this cross-sectional study. The logistic regression analysis showed that being overweight or obese (defined as BMI>25 kg/m2) was an independent variable predicting being in a low-risk group with OR of 2.39 (95% confidence interval 1.10, 5.21) and p value of 0.028. Paradoxically, overweight or obese patients with PE have better prognostic outcomes compared to underweight or normal weight patients defined by the simplified PESI (sPESI) which is commonly used to estimate the risk of 30-day mortality in patients with acute pulmonary embolism (PE) in our study.

1284: Complication of active rewarming in hypothermia from hypothyroidism

Introduction: Death from exposure and accidental hypothermia occurs throughout the world and can present significant management problems. The etiologies of hypothermia include cold exposure, medication, sepsis, and medical condition such as hypothyroidism or adrenal insufficiency. Hypothermia is usu

713: Alkaline phosphatase and outcome of patient with acute pulmonary embolism

Introduction: Alkaline phosphatase (ALP) can be found elevated in patient with pulmonary embolism (PE). However, its role in PE is unknown. In this study, we aimed to investigate the relationship between ALP and mortality in patients with PE. Methods: Retrospective medical records review of 109 pati