The physician's estimation 'alternative diagnosis is less likely than pulmonary embolism' in the Wells rule is dependent on the presence of other required items [5]

Thrombosis and Haemostasis

Volumn 99, Issue 1, 2008, Pages 244-245

  Klok, Frederikus A ^a   Zidane, Majida ^a   Djurabi, Reza Karami ^a   Nijkeuter, Mathilde ^a   Huisman, Menno V ^a  

^a LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

D DIMER;

CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAGNOSTIC VALUE; HEART RATE; HEMOPTYSIS; HOSPITAL PATIENT; HUMAN; LETTER; LOGISTIC REGRESSION ANALYSIS; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MULTICENTER STUDY; OUTPATIENT; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANK SUM TEST; RISK ASSESSMENT; RISK FACTOR; SCORING SYSTEM; STATISTICAL SIGNIFICANCE;

DECISION SUPPORT TECHNIQUES; DIAGNOSIS, DIFFERENTIAL; FIBRIN FIBRINOGEN DEGRADATION PRODUCTS; HEART RATE; HEMOPTYSIS; HUMANS; LOGISTIC MODELS; NEOPLASMS; NETHERLANDS; ODDS RATIO; PHYSICIAN'S ROLE; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; PULMONARY EMBOLISM; RISK ASSESSMENT; RISK FACTORS; VENOUS THROMBOSIS;

EID: 38349123052     PISSN: 03406245     EISSN: None     Source Type: Journal    
DOI: 10.1160/TH07-09-0560     Document Type: Letter

References (13)

1. 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.
2. Wells PS, Anderson DR, Rodgers M, et al. derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with simpliRED D-dimer. Thromb Haemost 2000; 83: 416-420.
3. Wicki J, Perneger TV, Junod AF, et al. Assessing clinical probability of pulmonary embolism in the emergency ward. Arch Intern Med 2001; 161: 92-97.
4. Le Gal G, Righini M, Roy P-M, et al. Prediction of pulmonary embolism in the emergency department: the revised Geneva score, Ann Intern Med 2006; 144: 165-17l.
5. van Belle A, Büller HR, Huisman MV, et al.; Christopher Study Investigators. Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography. J Am Med Assoc 2006; 295: 172-179.
6. Kruip MJ, Slob MJ, Schijen JH, etal. 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: 1631-1635.
7. 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.
8. Goekoop RJ, Steeghs N, Niessen RW, et al. Simple and safe exclusion of pulmonary embolism in outpatients using quantitative D-dimer and Wells' simplified decision rule. Thromb Haemost 2007; 97: 146-150.
9. Leclerq MGL, Kruip MJHA, Mac Gillavry MR, et al. Observer variability in the assessment of clinical probability in patients with suspected pulmonary embolism. J Thromb Haemost 2004; 2: 1204-1206.
10. Testuz A, Le Gal G, Righini M, et al. Influence of specific alternative diagnoses on the probability of pulmonary embolism. Thromb Haemost. 2006; 95: 958-962.
11. Chagnon I, Bounameaux H, Aujesky D, et al. Comparison of two clinical prediction rules and implicit assessment among patients with suspected pulmonary embolism. Am J Med 2002; 113: 269-275.
12. Klok FA, Karami Djurabi R, Nijkeuter M, et al. Alternative diagnosis other than pulmonary embolism as a subjective variable in Wells clinical decision rule; not so bad after all. J Thromb Haemost 2007; 5: 1079-1080.
13. Klok FA, Kruijswijk E, Spaan J, et al. Comparison of the revised Geneva score with the Wells rule for assessing clinical probability of pulmonary embolism. J Thromb Haemost 2007; Oct 20 [Epub ahead of print]