Suspicion of pulmonary embolism in outpatients: Nonspecific chest pain is the most frequent alternative diagnosis

Journal of Internal Medicine

Volumn 256, Issue 2, 2004, Pages 153-160

  Bagattini, S Bernard ^a   Bounameaux, H ^a   Perneger, T ^a   Perrier, A ^a  

^a GENEVA UNIVERSITY HOSPITALS   (Switzerland)

Author keywords

Diagnosis; Differential diagnosis; Multivariate analysis; Prediction rule; Pulmonary embolism

Indexed keywords

ADOLESCENT; ADULT; AGE DISTRIBUTION; ARTICLE; BREATHING RATE; BRONCHOPNEUMONIA; CLINICAL FEATURE; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIFFERENTIAL DIAGNOSIS; DISEASE ASSOCIATION; DYSPNEA; EMERGENCY WARD; EVALUATION; FEMALE; FEMININITY; HEART FAILURE; HEART RATE; HEMOPTYSIS; HOSPITAL ADMISSION; HUMAN; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MEDICAL ASSESSMENT; MULTIVARIATE ANALYSIS; OUTPATIENT; PLEURISY; PREDICTION; PRIORITY JOURNAL; THORAX PAIN; VENOUS THROMBOEMBOLISM;

ADOLESCENT; ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; ALGORITHMS; CHEST PAIN; DIAGNOSIS, DIFFERENTIAL; EPIDEMIOLOGIC METHODS; FEMALE; GENDER IDENTITY; HUMANS; MALE; MIDDLE AGED; PULMONARY EMBOLISM; PULSE; RESPIRATION;

EID: 3242876591     PISSN: 09546820     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1365-2796.2004.01354.x     Document Type: Article

References (16)

1. Anderson FA Jr, Wheeler FCB, Goldberg RJ et al. A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism. Arch Intern Med 1991; 151: 933-8.
2. Oger E. Incidence of venous thromboembolism: a community-based study in Western France. EPI-GETBP Study Group, Groupe d'Etude de la Thrombose de Bretagne Occidentale. Thromb Haemost 2000; 83: 657-60.
3. Stein PD, Terrin ML, Hales CA et al. Clinical, laboratory, roentgenographic, and electrocardiographic findings in patients with acute pulmonary embolism and no pre-existing cardiac or pulmonary disease. Chest 1991; 100: 598-603.
4. Perrier A, Desmarais S, Miron MJ et al. Non-invasive diagnosis of venous thromboembolism in outpatients. Lancet 1999; 353: 190-5.
5. 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.
6. Wicki J, Perneger TV, Junod A, Bounameaux H, Perrier A. Assessing clinical probability of pulmonary embolism in the emergency ward: a simple score. Arch Intern Med 2001; 161: 92-97.
7. Bounameaux H, de Moerloose P, Perrier A, Miron MJ. D-dimer testing in suspected venous thromboembolism: an update. QJM 1997; 90: 437-42.
8. 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.
9. Rathbun SW, Raskob GE, Whitsett TL. Sensitivity and specificity of helical computed tomography in the diagnosis of pulmonary embolism: a systematic review. Ann Intern Med 2000; 132: 227-32.
10. The PIOPED Investigators Value of the ventilation-perfusion scan in acute pulmonary embolism. JAMA 1990; 263: 2753-9.
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. Perrier A, Desmarais S, Goehring C et al. D-dimer testing for suspected pulmonary embolism in outpatients. Am J Respir Crit Care Med 1997; 156: 492-6.
13. Stein PD, Willis PWe, De Mets DL. History and physical examination in acute pulmonary embolism in patients without preexisting cardiac or pulmonary disease. Am J Cardiol 1981; 47: 218-23.
14. Hull RD, Raskob GE, Carter CJ et al. Pulmonary embolism in outpatients with pleuritic chest pain. Arch Intern Med 1988; 148: 838-44.
15. Wells PS, Anderson DR, Bormanis J et al. Application of a diagnostic clinical model for the management of hospitalized patients with suspected deep-vein thrombosis. Thromb Haemost 1999; 81: 493-7.
16. Perrier A, Howarth N, Didier D et al. Performances of helical computed tomography in unselected outpatients with suspected pulmonary embolism. Ann Intern Med 2001; 135: 88-97.