Risk Assessment in Severe PH Due to ILD– A Cross Sectional Study

Background: Pulmonary hypertension (PH) complicates the management of individuals with ILD, leading to diminished functional status & adverse outcomes. Timely identification of PH in ILD is crucial for commencing treatment & evaluating lung transplantation options. The aim of present study was “to assess the suitability of a reduced ESC/ERS risk categorization model to forecast the long-term prognosis in individuals with severe PH resulting from ILD”. Methods: The present cross-sectional study was conducted 60 among patients of ILD suspicious of PH at department of pulmonary medicine of a tertiary care centre for a period of one year & follow up was done upto two years. Risk stratification analyses were conducted on patients according to guidelines. Statistical analysis was done by using SPSS version 25.0. Results: Out of 60 patients 10 had low risk, 35 had intermediate risk & 15 had high risk. During the follow-up, one patient was lost to follow-up. The TF survival rates for patients with SPH related to ILD were 58% at 1 year & 31% at 2 years. “SvO2, RA area, BNP, WHO functional class, & the ESC/ERS risk score were important predictors of TFS”. Nonetheless, the ESC/ERS risk score emerged as the most robust predictor. Conclusion: A condensed iteration of the ESC/ERS risk classification paradigm for PAH may predict TFS in patients with advanced PH due to ILD.