Reducing the use of diagnostic imaging in patients with suspected pulmonary embolism: Validation of a risk assessment strategy

EMA - Emergency Medicine Australasia

Volumn 17, Issue 1, 2005, Pages 16-23

  Goergen, Stacy K ^a   Chan, Thomas ^a   De Campo, John F ^a   Wolfe, Rory ^a   Gan, Eng ^b   Wheeler, Michael ^b   McKay, John ^a  

^a MONASH MEDICAL CENTRE   (Australia)

^b MONASH UNIVERSITY   (Australia)

Author keywords

Clinical practice guidelines; Diagnostic imaging; Diagnostic tests; Pulmonary embolism; Risk assessment

Indexed keywords

D DIMER;

ADULT; ARTICLE; CLINICAL TRIAL; CONFIDENCE INTERVAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAGNOSTIC IMAGING; DIAGNOSTIC TEST; EMERGENCY WARD; FEMALE; HUMAN; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; PRACTICE GUIDELINE; PRIORITY JOURNAL; RISK ASSESSMENT; TEACHING HOSPITAL; VALIDATION PROCESS;

EID: 13544276959     PISSN: 17426731     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1742-6723.2005.00675.x     Document Type: Article

References (20)

1. Siverstein MD, Heit JA, Mohr DN, Petterson TM, O'Fallon WM, Melton LJ III. Trends in the incidence of deep vein thrombosis and pulmonary embolism: a 25 year population-based study. Arch. Intern. Med. 1998; 158: 585-93.
2. Goldhaber SZ, Visani L, De Rosa M. Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet 1999; 353: 1386-9.
3. Barrit DW, Jordan SC. Anticoagulant drugs in the treatment of pulmonary embolism. Lancet 1960; 1: 1309-12.
4. Douketis JD, Kearon C, Bates S, Duku EK, Ginsburg JS. Risk of fatal pulmonary embolism in patients with treated venous thromboembolism. JAMA 1998; 279: 458-62.
5. Kearon C, Ginsberg JS, Hirsh J. The role of venous ultrasonography in the diagnosis of suspected deep venous thrombosis and pulmonary embolism. Ann. Intern. Med. 1998; 129: 1044-9.
6. Robinson PJ. Ventilation-perfusion lung scanning and spiral computed tomography of the lungs: competing or complementary modalities? Eur. J. Nucl. Med. 1996; 23: 1547-53.
7. Safriel Y, Zinn H. CT pulmonary angiography in the detection of pulmonary emboli: a meta-analysis of sensitivities and specificities. Clin. Imaging 2002; 26: 101-5.
8. Musset D, Parent F, Meyer G et al. Diagnostic strategy for patients with suspected pulmonary embolism: a prospective multicentre outcome study. Lancet 2002; 360: 1914-20.
9. Perrier A, Desmarais S, Miron MJ et al. Non-invasive diagnosis of venous thromboembolism in outpatients. Lancet 1999; 353: 190-5.
10. Kline JA, Nelson RD, Jackson RE, Courtney MD. Criteria for the safe use of D-dimer testing in emergency department patients with suspected pulmonary embolism: a multicenter US study. Ann. Emerg. Med. 2002; 39: 144-52.
11. Wells PS, Anderson DR, Rodger M et al. Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer. Ann. Intern. Med. 2001; 135: 98-107.
12. Kline JA, Wells PS. Methodology for a rapid protocol to rule out pulmonary embolism in the emergency department. Ann. Emerg. Med. 2003; 42: 266-75.
13. ten Wolde M, Hagen PJ, MacGillavry MR et al. Non-invasive diagnostic work-up of patients with suspected pulmonary embolism: preliminary results of a management study [Abstract]. Thromb. Haemost. 2001; 7(Suppl.): 153.
14. Leclercq MG, Lutisan JG, Van Marwijk Kooy M et al. Ruling out clinically suspected pulmonary embolism by assessment of clinical probability and d-dimer levels: a management study. Thromb. Haemost. 2003; 89: 97-103.
15. Kruip MJ, Slob MJ, Schijen JH, van der Heul C, Büller HR. Use of a clinical decision rule in combination with d-dimer concentration in diagnostic workup of patients with suspected pulmonary embolism: a prospective management study. Arch. Intern. Med. 2002; 162: 1631-5.
16. Wells PS, Anderson DR, Rodger M et al. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the model's utility with the SimpliRED D-dimer. Thromb. Haemost. 2000; 83: 416-20.
17. Sanson BJ, Lijmer JG, MacG et al. Comparison of a clinical probability estimate and two clinical models in patients with suspected pulmonary embolism. Thromb. Haemost. 2000; 83: 199-203.
18. Kline JA, Israel EG, O'Neil BJ et al. Diagnostic accuracy of a bedside D-dimer assay and alveolar dead-space measurement for rapid exclusion of pulmonary embolism: a multicenter study. JAMA 2001; 285: 761-8.
19. Ginsberg JS, Wells PS, Kearon C et al. Sensitivity and specificity of a rapid whole-blood assay for D-dimer in the diagnosis of pulmonary embolism. Ann. Intern. Med. 1998; 129: 1006-11.
20. Wells PS, Ginsberg JS, Anderson DR et al. Use of a clinical model for safe management of patients with suspected pulmonary embolism. Ann. Intern. Med. 1998; 129: 997-1005.