Overuse of computed tomography pulmonary angiography in the evaluation of patients with suspected pulmonary embolism in the emergency department

Academic Emergency Medicine

Volumn 19, Issue 11, 2012, Pages 1219-1226

  Crichlow, Amanda ^a   Cuker, Adam ^a   Mills, Angela M ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

D DIMER; BIOLOGICAL MARKER; FIBRIN DEGRADATION PRODUCT; FIBRIN FRAGMENT D;

ADULT; AFRICAN AMERICAN; ARTICLE; BLOOD SAMPLING; CALCULATION; COHORT ANALYSIS; COMPUTER ASSISTED TOMOGRAPHY; EMERGENCY WARD; FEMALE; FOLLOW UP; HUMAN; LENGTH OF STAY; LUNG ANGIOGRAPHY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PROSPECTIVE STUDY; PULMONARY EMBOLISM RULE OUT CRITERIA; RADIOLOGIST; RATING SCALE; WELLS SCORE; ANGIOGRAPHY; BLOOD; EMERGENCY HEALTH SERVICE; INCIDENCE; MIDDLE AGED; RADIOGRAPHY; STATISTICS; UNITED STATES; UNIVERSITY HOSPITAL; UNNECESSARY PROCEDURE; URBAN POPULATION; UTILIZATION REVIEW;

ACADEMIC MEDICAL CENTERS; ADULT; ANGIOGRAPHY; BIOLOGICAL MARKERS; COHORT STUDIES; EMERGENCY SERVICE, HOSPITAL; FEMALE; FIBRIN FIBRINOGEN DEGRADATION PRODUCTS; HUMANS; INCIDENCE; MALE; MIDDLE AGED; PENNSYLVANIA; PROSPECTIVE STUDIES; PULMONARY EMBOLISM; TOMOGRAPHY, X-RAY COMPUTED; UNNECESSARY PROCEDURES; URBAN POPULATION;

EID: 84869381882     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/acem.12012     Document Type: Article

References (21)

1. Kline JA, Courtney DM, Kabrhel C, et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria. J Thromb Haemost. 2008; 6: 772-80. (Pubitemid 351524537)
2. 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. (Pubitemid 32661192)
3. Wells PS, Anderson DR, Rodger 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. 2000; 83: 416-20. (Pubitemid 30148355)
4. Runyon MS, Richman PB, Kline JA,. Emergency medicine practitioner knowledge and use of decision rules for the evaluation of patients with suspected pulmonary embolism: variations by practice setting and training level. Acad Emerg Med. 2007; 14: 53-57. (Pubitemid 46001752)
5. Wolf SJ, McCubbin TR, Nordenholz KE, Naviaux NW, Haukoos JS,. Assessment of the pulmonary embolism rule-out criteria rule for evaluation of suspected pulmonary embolism in the emergency department. Am J Emerg Med. 2008; 26: 181-5. (Pubitemid 351215792)
6. van Belle A, Buller HR, Huisman MV, et al. Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography. JAMA. 2006; 295: 172-9. (Pubitemid 43076436)
7. Courtney DM, Kline JA, Kabrhel C, et al. Clinical features from the history and physical examination that predict the presence or absence of pulmonary embolism in symptomatic emergency department patients: results of a prospective, multicenter study. Ann Emerg Med. 2010; 55: 307-15.
8. Mills AM, Baumann BM, Chen EH, et al. The impact of crowding on time until abdominal CT interpretation in emergency department patients with acute abdominal pain. Postgrad Med. 2010; 122: 75-81.
9. Mills AM, Shofer FS, Chen EH, Hollander JE, Pines JM,. The association between emergency department crowding and analgesia administration in acute abdominal pain patients. Acad Emerg Med. 2009; 16: 603-8.
10. Pines JM, Hollander JE,. Emergency department crowding is associated with poor care for patients with severe pain. Ann Emerg Med. 2008; 51: 1-5. (Pubitemid 350309459)
11. Richardson DB,. Increase in patient mortality at 10 days associated with emergency department overcrowding. Med J Aust. 2006; 184: 213-6.
12. United States Government Accountability Office. Medicare Part B Imaging Services: Rapid Spending Growth and Shift to Physician Offices Indicate Need for CMS to Consider Additional Management Practices. Washington, DC: Government Accountability Office, 2008, GAO-08-452, pp 1-55.
13. Kocher KE, Meurer WJ, Fazel R, Scott PA, Krumholz HM, Nallamothu BK,. National trends in use of computed tomography in the emergency department. Ann Emerg Med. 2011; 58: 452-62.
14. Smith-Bindman R, Lipson J, Marcus R, et al. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med. 2009; 169: 2078-86.
15. Brenner DJ, Doll R, Goodhead DT, et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc Natl Acad Sci U S A. 2003; 100: 13761-6. (Pubitemid 37499140)
16. Pierce DA, Preston DL,. Radiation-related cancer risks at low doses among atomic bomb survivors. Radiat Res. 2000; 154: 178-86. (Pubitemid 30612918)
17. Preston DL, Ron E, Tokuoka S, et al. Solid cancer incidence in atomic bomb survivors: 1958-1998. Radiat Res. 2007; 168: 1-64. (Pubitemid 351292925)
18. Mitchell AM, Jones AE, Tumlin JA, Kline JA,. Immediate complications of intravenous contrast for computed tomography imaging in the outpatient setting are rare. Acad Emerg Med. 2011; 18: 1005-9.
19. Kabrhel C, Mark Courtney D, Camargo CA Jr, et al. Potential impact of adjusting the threshold of the quantitative D-dimer based on pretest probability of acute pulmonary embolism. Acad Emerg Med. 2009; 16: 325-32.
20. Runyon MS, Webb WB, Jones AE, Kline JA,. Comparison of the unstructured clinician estimate of pretest probability for pulmonary embolism to the Canadian score and the Charlotte rule: a prospective observational study. Acad Emerg Med. 2005; 12: 587-93. (Pubitemid 40827128)
21. Sanson BJ, Lijmer JG, Mac Gillavry MR, Turkstra F, Prins MH, Buller HR,. Comparison of a clinical probability estimate and two clinical models in patients with suspected pulmonary embolism. ANTELOPE-Study Group. Thromb Haemost. 2000; 83: 199-203. (Pubitemid 30093218)