Evaluation of quality of life after pulmonary embolism

BACKGROUND: Post-pulmonary embolism syndrome, characterized by dyspnea, decreased exercise capacity, and worsening quality of life, may develop after pulmonary embolism (PE). The PE Quality of Life (PEmb-QoL) Questionnaire can detect this syndrome early.METHODS: The PEmb-QoL Questionnaire was filled in by telephone interview with the patients who were followed up with the diagnosis of PE in the third month after discharge. Data on risk factors, symptoms, laboratory and radiological findings, clinical status, and treatment for PE were recorded.RESULTS: There was a positive correlation between age and duration of hospitalization with the PEmb-QoL Questionnaire Score and a negative correlation with left ventricle ejection fraction (LVEF). Duration of hospitalization was also correlated with simplified PE Severity Index (sPESI), low LVEF, and thrombolytic therapy use. The PEmb-QoL Questionnaire Score was higher in those without deep vein thrombosis. The location of the thrombus (in the main pulmonary artery, bilateral or unilateral), increased pulmonary artery pressure, and Right Ventricle/Left Ventricle Ratio of >1 in computed tomography and echocardiography were not associated with the PEmb-QoL Questionnaire Score.CONCLUSIONS: Patients with low LVEF, advanced age, long-term hospitalization, high sPESI Score, and using thrombolytics should be followed closely in terms of post-PE syndrome.