A data-driven clinical prediction rule for pulmonary embolism
نویسندگان
چکیده
منابع مشابه
Clinical prediction rule for pulmonary infiltrates.
OBJECTIVE To derive and validate a clinical rule for predicting pneumonic infiltrates in adult patients with acute respiratory illness. DESIGN Prevalence studies in three settings. SETTING Emergency departments of the University of Illinois Hospital at Chicago, the University of Nebraska Medical Center at Omaha, and the Medical College of Virginia at Richmond. PATIENTS Symptoms, signs, co...
متن کاملAccuracy of the Wells clinical prediction rule for pulmonary embolism in older ambulatory adults.
OBJECTIVES To determine whether the Wells clinical prediction rule for pulmonary embolism (PE), which produces a point score based on clinical features and the likelihood of diagnoses other than PE, combined with normal D-dimer testing can be used to exclude PE in older unhospitalized adults. DESIGN Prospective cohort study. SETTING Primary care and nursing homes. PARTICIPANTS Older adult...
متن کاملAdequate use of pulmonary embolism clinical prediction rule in COPD patients.
We congratulate the authors for their study, which is one piece of the puzzle of a persistent clinical dilemma: when and how do we have to search for a pulmonary embolism (PE) in chronic obstructive pulmonary disease (COPD) patients? One of their conclusions is that ‘‘the Wells criteria appear to be a significantly better tool [than the Geneva score] for exploring COPD patients for PE’’. This p...
متن کاملPulmonary embolism rule-out criteria: a clinical decision rule that works.
www.aafp.org/afp Volume 88, Number 2 ◆ July 15, 2013 Is there a clinical prediction rule that can reliably exclude the presence of a pulmonary embolism (PE), and thus avoid the use of computed tomography (CT) in patients believed to be at very low risk? Bob: Let’s start with a case. A 42-year-old woman presents to your clinic saying that she awoke that morning with pleuritic right infrascapular...
متن کاملThe pulmonary embolism rule-out criteria (PERC) rule does not safely exclude pulmonary embolism.
BACKGROUND The Pulmonary Embolism Rule-out Criteria (PERC) rule is a clinical diagnostic rule designed to exclude pulmonary embolism (PE) without further testing. We sought to externally validate the diagnostic performance of the PERC rule alone and combined with clinical probability assessment based on the revised Geneva score. METHODS The PERC rule was applied retrospectively to consecutive...
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ژورنال
عنوان ژورنال: European Heart Journal
سال: 2013
ISSN: 0195-668X,1522-9645
DOI: 10.1093/eurheartj/eht307.p243