| Diagnosing pulmonary embolism using clinical findings. | |
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MedLine Citation:
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PMID: 3753109 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To determine the value of clinical findings in the diagnosis of pulmonary embolism, we analyzed the records of 82 patients from three different hospitals who underwent pulmonary arteriography to rule out pulmonary embolism. We recorded 92 items of clinical information, including lung ventilation-perfusion scan results, for each patient. Although the diagnostic power of any single variable was marginal, an eight-item decision rule derived using discriminant analysis correctly predicted the outcome of arteriography in 82% of the cases. When tested on a different group of 68 patients from four hospitals, the rule accurately identified patients with low or high likelihood of having positive arteriograms. Clinical use of such a rule could reduce the need for arteriography in this population and would expedite decisions about anticoagulant therapy and further diagnostic testing. |
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Authors:
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V L Hoellerich; R S Wigton |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of internal medicine Volume: 146 ISSN: 0003-9926 ISO Abbreviation: Arch. Intern. Med. Publication Date: 1986 Sep |
Date Detail:
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Created Date: 1986-09-29 Completed Date: 1986-09-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372440 Medline TA: Arch Intern Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1699-704 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Female Humans Lung / radiography, radionuclide imaging Male Middle Aged Pulmonary Artery / radiography Pulmonary Embolism / diagnosis* Risk Ventilation-Perfusion Ratio |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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