CT Pulmonary Angiography: Using Decision Rules in the Emergency Department

Journal of the American College of Radiology

Volumn 12, Issue 10, 2015, Pages 1023-1029

  Stojanovska, Jadranka ^a   Carlos, Ruth C ^a   Kocher, Keith E ^b   Nagaraju, Arun ^b   Guy, Karen ^b   Kelly, Aine M ^a   Chughtai, Aamer R ^a   Kazerooni, Ella A ^a  

^a UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

^b UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

computed tomographic pulmonary angiography; emergency department; modified Wells score; pulmonary embolism; Pulmonary embolism rule out criteria

Indexed keywords

ADOLESCENT; ADULT; AGED; ANGIOGRAPHY; CLINICAL DECISION SUPPORT SYSTEM; COMPUTER ASSISTED TOMOGRAPHY; EMERGENCY HEALTH SERVICE; HUMAN; INTENSIVE CARE; MICHIGAN; MIDDLE AGED; PREVALENCE; PULMONARY EMBOLISM; RADIOGRAPHY; REPRODUCIBILITY; RISK FACTOR; SENSITIVITY AND SPECIFICITY; UNNECESSARY PROCEDURE; UTILIZATION; UTILIZATION REVIEW; VERY ELDERLY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANGIOGRAPHY; CRITICAL CARE; DECISION SUPPORT SYSTEMS, CLINICAL; EMERGENCY SERVICE, HOSPITAL; HUMANS; MICHIGAN; MIDDLE AGED; PREVALENCE; PULMONARY EMBOLISM; REPRODUCIBILITY OF RESULTS; RISK FACTORS; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED; UNNECESSARY PROCEDURES; UTILIZATION REVIEW; YOUNG ADULT;

EID: 84952785531     PISSN: 15461440     EISSN: 1558349X     Source Type: Journal    
DOI: 10.1016/j.jacr.2015.06.002     Document Type: Article

References (20)

1. K.K. Calder, M. Herbert, and S.O. Henderson The mortality of untreated pulmonary embolus in emergency department patients Ann Emerg Med 45 2005 302 310
2. M. Cushman, A.W. Tsai, R.H. White, and et al. Deep vein thrombosis and pulmonary embolism in two cohorts: the longitudinal investigation of thromboembolism etiology Am J Med 117 2004 19 25
3. F.M. Fesmire, M.D. Brown, J.A. Espinosa, and et al. Critical issues in the evaluation and management of adult patients presenting to the emergency department with suspected pulmonary embolism Ann Emerg Med 57 2011 628 652
4. J.A. Kline, D.M. Courtney, C. Kabrhel, and et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria J Thromb Haemost 6 2008 772 780
5. O. Hugli, M. Righini, G. Le Gal, and et al. The pulmonary embolism rule-out criteria (PERC) rule does not safely exclude pulmonary embolism J Thromb Haemost 9 2011 300 304
6. G. Le Gal, M. Righini, P.-M. Roy, and et al. Prediction of pulmonary embolism in the emergency department: the revised Geneva score Ann Intern Med 144 2006 165 171
7. P.S. Wells, D.R. Anderson, M. Rodger, and 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
8. J.A. Kline, A.M. Mitchell, C. Kabrhnel, and et al. Clinical criteria to prevent unnecessary diagnostic testing in emergency department patients with suspected pulmonary embolism J Thromb Haemost 2 2004 1247 1255
9. A. van Belle, H.R. Buller, M.V. Huisman, and et al. Effectiveness of managing suspected pulmonary embolism using an algorithm combing clinical probability, d-dimer testing, and computed tomography JAMA 295 2006 172 179
10. A. Crichlow, A. Cuker, and A.M. Mills Overuse of computed tomography pulmonary angiography in the evaluation of patients with suspected pulmonary embolism in the emergency department Acad Emerg Med 18 2012 1220 1226
11. B. Nojkov, M.C. Duffy, and M.S. Cappell Utility of repeated abdominal CT scans after prior negative CT scans in patients presenting to ER with nontraumatic abdominal pain Dig Dis Sci 58 2013 1074 1083
12. J.A. Kline, D.M. Courtney, D.M. Beam, M.C. King, and M. Steuerwald Incidence and predictors of repeated computed tomographic pulmonary angiography in emergency department patients Ann Emerg Med 54 2009 41 48
13. A.K. Venkatesh, J.A. Kline, D.M. Courtney, and et al. Evaluation of pulmonary embolism in the emergency department and consistency with a national quality measure: quantifying the opportunity for improvement Arch Intern Med 172 2012 1028 1032
14. M.K. Kalra, M.M. Maher, S. Rizzo, and S. Saini Radiation exposure and projected risks with multidetector-row computed tomography scanning: clinical strategies and technologic developments for dose reduction J Comput Assist Tomogr 2004 S46 S49
15. A.F. Costa, H. Basseri, A. Sheikh, I. Stiell, and C. Dennie The yield of CT pulmonary angiograms to exclude acute pulmonary embolism Emerg Radiol 21 2014 133 141
16. M.M. Costantino, G. Randall, M. Gosselin, M. Brandt, K. Spinning, and C.D. Vegas CT angiography in the evaluation of acute pulmonary embolus AJR Am J Roentgenol 191 2008 471 474
17. L.M. Prevedello, A.S. Raja, I.K. Ip, A. Sodickson, and R. Khorasani Does clinical decision support reduce unwarranted variation in yield of CT pulmonary angiogram? Am J Med 126 2013 975 981
18. R.J. Dachs, D. Kulkami, and G.L. Higgins The pulmonary embolism rule-out criteria in a community hospital ED: a retrospective study of its potential utility Am J Emerg Med 29 2011 1023 1027
19. S.J. Wolf, T.R. McCubbin, K.E. Nordenholz, N.W. Naviaux, and J.S. Haukoos Assessment of the pulmonary embolism rule-out criteria for evaluation of suspected embolism in the emergency department Am J Emerg Med 26 2008 181 185
20. F.S. Drescher, S. Chandrika, I.D. Weir, and et al. Effectiveness and acceptability of a computerized decision support using modified wells criteria for evaluation of suspected pulmonary embolism Ann Emerg Med 57 2011 613 621