Effect of Ionized Calcium Level on the Prognosis and Mortality of Patients with Pulmonary Embolism

Objective: The aim of this study was to investigate the effect of ionized calcium level on the prognosis and mortality of patients with pulmonary embolism.Materials and method: A total of 165 patients over 18 years of age, who had been hospitalized due to pulmonary embolism were retrospectively evaluated.A significant relation was determined between mortality and low systolic blood pressure (p<0.05),low diastolic blood pressure (p<0.05) and tachycardia (p<0.05).The relation between mortality and high levels of urea (p<0.05),creatinine (p<0.05),d-dimer (p<0.05),CK-MB (p<0.05),troponin (p<0.05) and lactate (p<0.05) was also significant.The relation between mortality and duration of intensive care unit stay (p<0.05),hospital stay (p<0.05) and duration of mechanical ventilation (p<0.05) was also significant, whereas no relation was determined between the ionized calcium level and mortality (p=0.154).However, a significant relation was determined between the high level of ionized calcium and duration of mechanical ventilation (p=0.019).Additionally, the relation between right bundle branch block in ECG and mortality was found to be significant (p<0.05).Conclusion: Although no direct relation was determined between the level of ionized calcium and mortality in pulmonary embolism, it may be useful in predicting the duration of mechanical ventilation.