Importance of Wells score and Geneva score for the evaluation of patients suspected of pulmonary embolism

In Vivo

Volumn 29, Issue 2, 2015, Pages 269-272

  Gruettner, Joachim ^a   Walter, Thomas ^a   Lang, Siegfried ^a   Meyer, Michael ^a   Apfaltrer, Paul ^a   Henzler, Thomas ^a   Viergutz, Tim ^a  

^a UNIVERSITY OF HEIDELBERG   (Germany)

Author keywords

Emergency department; Geneva score; Pulmonary embolism; Wells score

Indexed keywords

ADULT; AGED; ARTICLE; DYSPNEA; EMERGENCY WARD; FAINTNESS; FEMALE; GENEVA SCORE; HUMAN; LOGISTIC REGRESSION ANALYSIS; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; RECEIVER OPERATING CHARACTERISTIC; RETROSPECTIVE STUDY; SCORING SYSTEM; THORAX PAIN; WELLS SCORE; BLOOD; BLOOD PRESSURE; COMPUTER ASSISTED TOMOGRAPHY; EMERGENCY HEALTH SERVICE; HEART RATE; MIDDLE AGED; ODDS RATIO; PULMONARY EMBOLISM; VERY ELDERLY; YOUNG ADULT;

FIBRIN DEGRADATION PRODUCT; FIBRIN FRAGMENT D;

ADULT; AGED; AGED, 80 AND OVER; BLOOD PRESSURE; EMERGENCY SERVICE, HOSPITAL; FEMALE; FIBRIN FIBRINOGEN DEGRADATION PRODUCTS; HEART RATE; HUMANS; MALE; MIDDLE AGED; ODDS RATIO; PULMONARY EMBOLISM; RETROSPECTIVE STUDIES; ROC CURVE; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 84928153366     PISSN: 0258851X     EISSN: 17917549     Source Type: Journal    
DOI: None     Document Type: Article

References (23)

1. Bell WR and Simon TL: Current status of pulmonary thromboembolic disease: pathophysiology, diagnosis, prevention and treatment. Am Heart J 103: 239-262, 1982.
2. Goldhaber SZ: Pulmonary embolism. Lancet 363(9417): 1295-1305, 2004.
3. Kline JA, Hernandez-Nino J and Jones AE: Prospective studies of the clinical features and outcome of emergency department patients with delayed diagnosis of pulmonary embolism. Acad Emerg Med 14: 592-598, 2007.
4. Walther A and Böttiger B: Lungenembolie. J Wien Med Wochenschr 158: 21-22, 2008.
5. Mullins MD, Becker DM, Hagspiel KD and Philbrick JT: The role of spiral volumetric computed tomography in the diagnosis of pulmonary embolism. Arch Intern Med 160: 293-298, 2000.
6. Perrier A, Howarth N, Didier D, Loubeyre P, Unger PF, de Moerloose P, Slosman D, Junod A and Bounameaux H: Performance of helical computed tomography in unselected outpatients with suspected pulmonary embolism. Ann Intern Med 135: 88-97, 2001.
7. Pollack CV, Schreiben D, Goldhaber SZ, Slattery D, Fanikos J, O'Neil BJ, Thompson JR, Hiestand B, Briese BA, Pendleton RC, Miller CD and Kline JA: Clinical characteristics, management, and outcomes of patients diagnosed with acute pulmonary embolism in the emergency department: initial report of EMPEROR (Multicenter Emergency Medicine Pulmonary Embolism in the Real World Registry. J Am Coll Cardiol 57: 700-706, 2011.
8. Konstantinides S, Torbicki A, Agnelli G, Danchin N, Fitzmaurice D, Galiè N, Gibbs JS, Huisman MV, Humbert M, Kucher N, Lang I, Lankeit M, Lekakis J, Maack C, Mayer E, Meneveau N, Perrier A, Pruszczyk P, Rasmussen LH, Schindler TH, Svitil P, Vonk Noordegraaf A, Zamorano JL and Zompatori M: 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 35(43): 3033-3069, 2014.
9. Le Gal G, Righini M, Roy PM, Sanchez O, Aujesky D, Bounameaux H and Perrier A: Prediction of pulmonary embolism in the emergency department: the revised Geneva score. Ann Intern Med 144: 165-171, 2006.
10. Wells PS, Anderson DR, Rodger M, Ginsberg JS, Kearon C, Gent M, Turpie AG, Bormanis J, Weitz J, Chamberlain M, Bowie D, Barnes D and Hirsh J: Derivation of a simple clinical model to categorize patients probality of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. Thromb Haemost 83: 416-420, 2000.
11. Young MD, Daniels AH, Evangelista PT, Reinert SE, Ritterman S, Christino MA, Thakur NA and Born CT: Predicting pulmonary embolus in orthopaedic trauma patients using the Wells score. Orthopedics 36(5): e642-e647, 2013.
12. Goldhaber SZ, Grodstein F and Stampfer MJ: A prospective study of risk factors for pulmonary embolism in women. JAMA 277: 642-645, 1997.
13. Gruettner J, Viergutz T, Bolte M, Thomas Henzler, Stefan O. Schoenberg, Sonja Sudarski, Paul Apfaltrer and Thomas Walter: Importance of risk factors for the evaluation of patients suspected of pulmonary embolism. Exp Ther Med, in press, 2015.
14. Kline JA and Miller DW: Risk stratification for acute pulmonary embolism. J Natl Compr Canc Netw 9: 800-810, 2011.
15. Lauque D, Mazieres J and Rouzaud, P: Pulmonary embolism in patients using estrogen-progestagen contraceptives. Presse Med 27: 1566-1569, 1998.
16. Calvo-Romero JM, Perez-Miranda M and Bureo-Dacal P: Syncope in acute pulmonary embolism. Eur J Emerg Med 1: 208-209, 2004.
17. Castelli R, Tarsia P, Tandardini C, Pantaleo G, Guariglia A and Porro F: Syncope in patients with pulmonary embolism: comparison between patient syncope as the presenting symptom of pulmonary embolism and patients with pulmonary embolism without syncope. Vasc Med 8: 257-261, 2003.
18. Miniati M, Prediletto R, Formichi B, Marini C, Di Ricco G, Tonelli L, Allescia G and Pistolesi M: Accuracy of clinical assessment in the diagnosis of pulmonary embolism. Am J Respir Crit Care Med 159: 864-871, 1999.
19. Hanley JA and McNeil BJ: A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology 148: 839-843, 1983.
20. Stein PD, Terrin ML, Hales CA, Palevsky HI, Saltzman HA, Thompson BT and Weg JG: Clinical, laboratory, roentgenographic, and electrocardiographic findings in patients with acute pulmonary embolism and no pre-existing cardiac or pulmonary disease. Chest 100: 598-603, 1991.
21. Gruettner J, Walter T, Bolte M, Haghi D, Sudarski S and Henzler T: Incidence of pulmonary embolism in an emergency department cohort evaluated with a simple symptom-based diagnostic algorithm. In Vivo 27: 215-220, 2013.
22. Wang JH, Christino MA, Thakur MA, Palumbo MA and Daniels AH: Evaluation of the utility of the Wells score in predicting pulmonary embolism in patients admitted to a spine surgery service. Hosp Pract 41: 122-128, 2013.
23. Yap KS, Kalff V, Turlakow A and Kelly MJ: A prospective reassessment of the utility of the Wells score in identifying pulmonary embolism. Med J Aust 187: 333-336, 2007.