Safety of excluding acute pulmonary embolism based on an unlikely clinical probability by the Wells rule and normal D-dimer concentration: A meta-analysis

Thrombosis Research

Volumn 125, Issue 4, 2010, Pages

  Pasha, S M ^a   Klok, F A ^a   Snoep, J D ^a   Mos, I C M ^a   Goekoop, R J ^b   Rodger, M A ^c   Huisman, M V ^a  

^a LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

^b HAGA HOSPITAL   (Netherlands)

^c OTTAWA HOSPITAL RESEARCH INSTITUTE   (Canada)

Author keywords

D dimer; Meta analysis; Pulmonary embolism; Safety; Wells rule

Indexed keywords

D DIMER;

ARTICLE; CAUSE OF DEATH; CLINICAL DECISION MAKING; COCHRANE LIBRARY; EMBASE; FOLLOW UP; HUMAN; INCIDENCE; LUNG EMBOLISM; MEDLINE; MORBIDITY; MORTALITY; PRIORITY JOURNAL; PROBABILITY; RECURRENT DISEASE; RISK FACTOR; SCORING SYSTEM; SYSTEMATIC REVIEW; VENOUS THROMBOEMBOLISM; WELLS CLINICAL DECISION RULE;

ANTICOAGULANTS; AUTOIMMUNE DISEASES; BIOLOGICAL MARKERS; CELLULITIS; COAGULANTS; FEMALE; FIBRIN FIBRINOGEN DEGRADATION PRODUCTS; HUMANS; INCIDENCE; JURISPRUDENCE; MALE; MEDLINE; MIDDLE AGED; PROBABILITY; PROSPECTIVE STUDIES; PULMONARY EMBOLISM; RECURRENCE; SAFETY; VENOUS THROMBOEMBOLISM;

EID: 77949570957     PISSN: 00493848     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.thromres.2009.11.009     Document Type: Article

References (12)

1. Rodger M.A., Bredeson C.N., Jones G., Rasuli P., Raymond F., Clement A.M., et al. The bedside investigation of pulmonary embolism diagnosis study: a double-blind randomized controlled trial comparing combinations of 3 bedside tests vs ventilation-perfusion scan for the initial investigation of suspected pulmonary embolism. Arch Intern Med 166 (2006) 181-187
2. van Belle A., Büller H.R., Huisman M.V., Huisman P.M., Kaasjager K., Kamphuisen P.W., et al. Christopher Study Investigators. Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography. JAMA 295 (2006) 172-179
3. Goekoop R.J., Steeghs N., Niessen R.W., Jonkers G.J., Dik H., Castel A., et al. Simple and safe exclusion of pulmonary embolism in outpatients using quantitative D-dimer and Wells' simplified decision rule. Thromb Haemost 97 (2007) 146-150
4. Anderson D.R., Kahn S.R., Rodger M.A., Kovacs M.J., Morris T., Hirsch A., et al. Computed tomographic pulmonary angiography vs ventilation-perfusion lung scanning in patients with suspected pulmonary embolism: a randomized controlled trial. JAMA 298 (2007) 2743-2753
5. Wells P.S., Anderson D.R., Rodger M., Ginsberg J.S., Kearon C., Gent M., et al. Derivation of a simple clinical model to categorize patients probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. Thromb Haemost 83 (2000) 416-420
6. Smith C., Mensah A., Mal S., and Worster A. Is pretest probability assessment on emergency department patients with suspected venous thromboembolism documented before SimpliRed D-dimer testing?. CJEM 10 (2008) 519-523
7. Corwin M.T., Donohoo J.H., Patridge R., Egglin T.K., and Mayo-Smith W.W. Do emergency physicians use serum D-dimer effectively to determine the need for a CT when evaluating patients for pulmonary embolism? Review of 5, 344 consecutive patients. AJR 192 (2009) 1319-1323
8. Barritt D.W., and Jordan S.C. Anticoagulant drugs in the treatment of pulmonary embolism. A controlled trial. Lancet 7138 (1960) 1309-1312
9. Buller H.R., Agnelli G., Hull R.D., Hyers T.M., Prins M.H., and Raskob G.E. Antithrombotic therapy for venous thromboembolic disease: the Seventh ACCP Conference on Antithrombotic andThrombolytic Therapy. Chest 126 3 Suppl (2004) 401S-428S
10. Stroup D.F., Berlin J.A., Morton S.C., Olkin I., Williamson G.D., Rennie D., et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA 283 (2000) 2008-2012
11. van Beek E.J., Brouwerst E.M., Song B., Stein P.D., and Oudkerk M. Clinical validity of a normal pulmonary angiogram in patients with suspected pulmonary embolism--a critical review. Clin Radiol 56 (2001) 838-842
12. DerSimonian R., and Laird N. Meta-analysis in clinical trials. Control ClinTrials 7 (1986) 177-188