Diagnosis and Treatment of Acute Pulmonary Thromboembolism in the Elderly: Clinical Practice and Implications For Nurses

Journal of Emergency Nursing

Volumn 34, Issue 4, 2008, Pages 330-339

  Masotti, Luca ^a  

^a Cecina ^*  (Italy)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE DISEASE; AGE DISTRIBUTION; AGED; AGING; ALGORITHM; ARTICLE; BLOOD CLOTTING; DECISION TREE; DIFFERENTIAL DIAGNOSIS; DRUG CONTRAINDICATION; DRUG MONITORING; ECHOCARDIOGRAPHY; EMERGENCY NURSING; EMERGENCY TREATMENT; FIBRINOLYTIC THERAPY; GERIATRIC ASSESSMENT; HUMAN; INCIDENCE; LUNG EMBOLISM; METHODOLOGY; NURSE ATTITUDE; NURSING; NURSING ASSESSMENT; PARTIAL THROMBOPLASTIN TIME; PATHOLOGY; PHYSIOLOGY; PREVALENCE; RISK ASSESSMENT; RISK FACTOR;

ACUTE DISEASE; AGE DISTRIBUTION; AGED; AGING; ALGORITHMS; BLOOD COAGULATION; DECISION TREES; DIAGNOSIS, DIFFERENTIAL; DRUG MONITORING; ECHOCARDIOGRAPHY; EMERGENCY NURSING; EMERGENCY TREATMENT; GERIATRIC ASSESSMENT; HUMANS; INCIDENCE; NURSE'S ROLE; NURSING ASSESSMENT; PARTIAL THROMBOPLASTIN TIME; PREVALENCE; PULMONARY EMBOLISM; RISK ASSESSMENT; RISK FACTORS; THROMBOLYTIC THERAPY;

EID: 47249121649     PISSN: 00991767     EISSN: 15272966     Source Type: Journal    
DOI: 10.1016/j.jen.2007.04.023     Document Type: Article

References (34)

1. White R. The epidemiology of venous thromboembolism. Circulation 107 Suppl 1 (2003) I4-I8
2. Siddique R., Siddique M., Connors A., and Rimm A. Thirty-day case fatality rates for pulmonary embolism in the elderly. Arch Intern Med 156 (1996) 2343-2347
3. Piazza G., and Goldhaber S. Acute pulmonary embolism. Part I: Epidemiology and diagnosis. Circulation 114 (2006) e28-e32
4. Garcia D., Ageno W., and Libby E. Update on the diagnosis and management of pulmonary embolism. Br J Heamatol 131 (2005) 301-312
5. Dalen J. Pulmonary embolism: What have we learned since Virchow? Natural history, pathophysiology, and diagnosis. Chest 122 (2002) 1440-1456
6. Rich M. The management of venous thromboembolic disease in older adults. J Gerontol Med Sci 594 (2004) 34-41
7. Wood K. Major pulmonary embolism. Review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Chest 121 (2002) 877-905
8. British Thoracic Society. Guidelines for the management of suspected acute pulmonary embolism. Thorax 58 (2003) 470-484
9. ESC Task Force. Guidelines on diagnosis and management of acute pulmonary embolism. Eur Heart J 21 (2000) 1301-1336
10. American College of Emergency Physicians. Clinical policy: Critical issues in the evaluation and management of adult patients presenting with suspected pulmonary embolism. Ann Emerg Med 41 (2003) 257-270
11. Goldhaber S., and Elliott C. Acute pulmonary embolism: Part I. Epidemiology, pathophysiology, and diagnosis. Circulation 108 (2003) 2726-2729
12. Stein P., Woodard P., Weg J., Wakefield T., Tapson V., Sostman H., et al. Diagnostic pathways in acute pulmonary embolism: Recommendations of the PIOPED II Investigators. Am J Med 119 (2006) 1048-1055
13. Wells P., Ginsberg J., Anderson D., Kearon C., Gent M., Turpie A., et al. Use of a clinical model for safe management of patients with suspected pulmonary embolism. Arch Intern Med 129 (1998) 997-1005
14. Wicki J., Perneger T., Junod A., Bounameaux H., and Perrier A. Assessing clinical probability of pulmonary embolism in the emergency ward. Arch Intern Med 161 (2001) 92-97
15. Kline J., Nelson R., Jackson R., and Courtney D. Criteria for the safe use of D-Dimer testing in emergency department patients with suspected pulmonary embolism: a multicenter US study. Ann Emerg Med 39 (2002) 144-152
16. Stein P., Hull R., Patel K., Olson R., Ghali W., Brant R., et al. D-Dimer for the exclusion of acute venous thrombosis and pulmonary embolism. A systematic review. Ann Intern Med 140 (2004) 589-602
17. Tapson V., Carroll B., Davidson B., Elliott C., Fedullo P., Hales C., et al. The diagnostic approach to acute venous thromboembolism. Clinical practice guideline. American Thoracic Society. Am J Respir Crit Care Med 160 (1999) 1043-1066
18. Goldhaber S. Echocardiography in the management of pulmonary embolism. Ann Intern Med 136 (2002) 691-700
19. Masotti L., Landini G., Vecce R., Antonelli F., Cappelli R., and Rottoli P. Diagnosis and treatment of pulmonary embolism: Up to date. Ital J Chest Dis 59 (2005) 477-487
20. Janssens J., Pache J., and Nicod L. Physiological changes in respiratory function associated with ageing. Eur Respir J 13 (1999) 197-205
21. Hazzard W., Blass J., Halter J., Ouslander J., and Tinetti M. Principles of geriatric medicine and gerontology. 5th Edition (2003), McGraw-Hill, New York
22. Masotti L., Landini G., Cappelli R., and Rottoli P. Doubts and certainness in diagnosis of pulmonary embolism in the elderly. Int J Cardiol 112 (2006) 375-377
23. Masotti L., Ceccarelli E., Cappelli R., Barabesi L., and Forconi S. Arterial blood gas analysis and alveolar-arterial oxygen gradient in diagnosis and prognosis of elderly patients with suspected pulmonary embolism. J Gerontol A Biol Sci Med Sci 55 (2000) M761-M764
24. Sohne M., Kamphuisen P., van Mierlo P., and Buller H. Diagnostic strategy using a modified clinical decision rule and D-dimer test to rule out pulmonary embolism in elderly in- and outpatients. Thromb Haemost 94 (2005) 206-210
25. Righini M., de Moerloose P., Reber G., Perrier A., and Bounameaux H. Should the D-dimer cut-off value be increased in elderly patients suspected of pulmonary embolism?. Thromb Haemost 85 (2001) 744
26. Righini M., Le Gal G., Perrier A., and Bounameaux H. The challenge of diagnosing pulmonary embolism in elderly patients: Influence of age on commonly used diagnostic tests and strategies. J Am Geriatr Soc 53 (2005) 1039-1045
27. Calvo-Romero J., Lima-Rodriguez E., Bureo-Dacal P., and Perez-Miranda M. Predictors of an intermediate ventilation/perfusion lung scan in patients with suspected acute pulmonary embolism. Eur J Emerg Med 12 (2005) 129-131
28. Righini M., Bounameaux H., and Perrier A. Effect of age on the performance of single detector helical computed tomography in suspected pulmonary embolism. Thromb Haemost 91 (2004) 296-299
29. Buller H., Agnelli G., Hull R., Hyers T., Prins M., and Raskob G. Antithrombotic therapy for venous thromboembolic disease: The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest 126 3 Suppl (2004) 401S-428S
30. Hirsh J., and Raschke R. Heparin and low molecular weight heparin: The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest 126 3 Suppl (2004) 188S-203S
31. Levine M., Raskob G., Beyth R., Kearon C., and Schulman S. Hemorrhagic complications of anticoagulant treatment: The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest 126 3 Suppl (2004) 287S-310S
32. Warkentin T., and Greinacher A. Heparin induced thrombocytopenia: recognition, treatment, and prevention: The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest 126 3 Suppl (2004) 311S-37S
33. Stein P., Gottschalk A., Saltzman H., and Terrin M. Diagnosis of acute pulmonary embolism in the elderly. J Am Coll Cardiol 18 (1991) 1452-1457
34. Kallstrom T., and American Association for Respiratory Care (AARC). AARC Clinical Practice Guideline: Oxygen therapy for adults in the acute care facility-2002 revision and update. Respir Care 47 (2002) 717-720