| Diagnostic approach to pulmonary embolism in a rural emergency department. | |
| | |
MedLine Citation:
|
PMID: 22188622 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Introduction: Pulmonary embolism (PE) is a serious condition with mortality estimates of up to 10%. We sought to investigate the diagnosis of PE, time to access imaging and diagnostic utility of each modality in a rural emergency department (Ed). Methods: We completed a retrospective chart review to determine the investigations performed and treatments initiated in the management of suspected PE in a rural hospital. Results: A total of 47 charts from a 5-year period were reviewed. Of these, 83.0% indicated a D-dimer test was ordered, and 31.9% and 40.4% indicated either ventilation-perfusion (V/Q) or computed tomography (CT) were ordered during the ED visit. Computed tomography diagnosed 11 of the 12 instances of confirmed PE. Mean time to patients undergoing V/Q or CT was 1.58 and 1.59 days, respectively. Low-molecular-weight heparin was started in 83.0% of patients. Conclusion: In this ED there may be over reliance on the D-dimer test, irrespective of Wells score. Access to V/Q and CT were similar to that of an urban centre. Empiric anticoagulation was started in most patients. |
| | |
Authors:
|
Mike Ballantine; Munsif Bhimani; W Ken Milne |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la médecine rurale : le journal officiel de la Société de médecine rurale du Canada Volume: 17 ISSN: 1488-237X ISO Abbreviation: Can J Rural Med Publication Date: 2012 |
Date Detail:
|
Created Date: 2011-12-22 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9708550 Medline TA: Can J Rural Med Country: Canada |
Other Details:
|
Languages: eng Pagination: 17-20 Citation Subset: IM |
Affiliation:
|
Department of Emergency Medicine, University of Western Ontario and South Huron Hospital Association, Exeter, Ontario. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Health views and metabolic syndrome in a Finnish rural community: a cross-sectional population study...
Next Document: Varicella zoster virus infection among healthcare workers in Taiwan: seroprevalence and predictive v...