Assessing Clinical Probability of Pulmonary Embolism in the Emergency Ward
نویسندگان
چکیده
منابع مشابه
Validity and clinical utility of the simplified Wells rule for assessing clinical probability for the exclusion of pulmonary embolism.
The recently introduced simplified Wells rule for the exclusion of pulmonary embolism (PE) assigns only one point to the seven variables of the original Wells rule. This study was performed to independently validate the simplified Wells rule for the exclusion of PE. We retrospectively calculated the prevalence of PE in the "unlikely" probability categories of the original Wells (cut-off < or =4...
متن کاملEmergency diagnosis of pulmonary embolism.
Acute massive pulmonary embolism is an emergency requiring immediate treatment. The right heart functional reserve is the major determinant of acute survival. Because most of the deaths resulting from the initial haemodynamic insult occur either immediately or within a few hours, the relief of pulmonary vascular obstruction must be as fast as possible. This can be achieved by thrombolytic treat...
متن کاملPulmonary embolism in the pediatric emergency department.
OBJECTIVE To describe patients who present to the pediatric emergency department (PED) and are subsequently diagnosed with pulmonary embolism (PE). METHODS Electronic medical records from 2003 to 2011 of a tertiary care pediatric health care system was retrospectively reviewed to identify patients <21 years who had a final International Classification of Diseases, Ninth Revision diagnosis of ...
متن کاملComparison of the revised Geneva score with the Wells rule for assessing clinical probability of pulmonary embolism.
BACKGROUND The revised Geneva score, a standardized clinical decision rule in the diagnosis of pulmonary embolism (PE), was recently developed. The Wells clinical decision is widely used but lacks full standardization, as it includes subjective clinician's judgement. We have compared the performance of the revised Geneva score with the Wells rule, and their usefulness for ruling out PE in combi...
متن کاملImproving the diagnosis of pulmonary embolism in the emergency department.
The diagnosis of pulmonary embolism (PE) in the emergency department is challenging due to the wide range of non-specific symptoms, lack of clinical diagnostic criteria, and imperfect investigations. Various scoring systems exist in an attempt to limit unnecessary investigations in those with low risk of PE. Following a baseline audit and subsequent PDSA cycles we implemented a flowchart for us...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Archives of Internal Medicine
سال: 2001
ISSN: 0003-9926
DOI: 10.1001/archinte.161.1.92