Overuse and underuse of pulmonary CT angiography in patients with suspected pulmonary embolism
نویسندگان
چکیده
منابع مشابه
Overuse and underuse of pulmonary CT angiography in patients with suspected pulmonary embolism
Background: The aim of the present study was to evaluate the utilization and diagnostic yields of CT pulmonary angiography (CTPA) using the Revised Geneva score and Wells’ criteria, in patients with suspected pulmonary embolism (PE). Methods: One hundred and twelve adult patients underwent CTPA for suspected PE were participated in this study. The outcome was positive or neg...
متن کاملcomputed tomography pulmonary angiography for evaluation of patients with suspected pulmonary embolism: use or overuse
conclusion there is still excessive unjustified concern of pte in less trained physicians leading to excessive diagnostic work-up. loyalty to the existing guideline for management of suspected pte in educational hospitals and supervision of attending physicians could prevent overuse of ctpa. results during a 6-month period, 82 patients who underwent ctpa were included. the prevalence of pte was...
متن کاملComputed Tomography Pulmonary Angiography for Evaluation of Patients With Suspected Pulmonary Embolism: Use or Overuse
BACKGROUND The use of computed tomography pulmonary angiography (CTPA) has been increased during the last decade. OBJECTIVES We studied the adherence to current diagnostic recommendations for evaluation of pulmonary embolism in a teaching hospital of Tehran University of Medical Sciences. PATIENTS AND METHODS The registered medical records (Wells scores and serum D-dimer level) of all patie...
متن کاملCT pulmonary angiography: an over-utilized imaging modality in hospitalized patients with suspected pulmonary embolism
AIMS To determine if computed tomographic pulmonary angiography (CTPA) was overemployed in the evaluation of hospitalized patients with suspected acute pulmonary embolism (PE). METHODS Data were gathered retrospectively on hospitalized patients (n=185) who had CTPA for suspected PE between June and August 2009 at our institution. RESULTS CTPA was done in 185 hospitalized patients to diagnos...
متن کاملSuboptimal implementation of diagnostic algorithms and overuse of computed tomography-pulmonary angiography in patients with suspected pulmonary embolism
BACKGROUND Majority of our computed tomography-pulmonary angiography (CTPA) scans report negative findings. We hypothesized that suboptimal reliance on diagnostic algorithms contributes to apparent overuse of this test. METHODS A retrospective review was performed on 2031 CTPA cases in a large hospital system. Investigators retrospectively calculated pretest probability (PTP). Use of CTPA was...
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ژورنال
عنوان ژورنال: Medical Journal of The Islamic Republic of Iran
سال: 2018
ISSN: 1016-1430,2251-6840
DOI: 10.14196/mjiri.32.3