| Incidence of Pulmonary Embolism in an Emergency Department Cohort Evaluated with a Simple Symptom-based Diagnostic Algorithm. | |
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MedLine Citation:
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PMID: 23422481 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Although complex scores were recommended for diagnosis of pulmonary embolism (PE), acceptance in clinical practice is limited. In our Emergency Department a symptom-based algorithm for patients with suspected PE including computed tomographic pulmonary angiography (CTPA) and D-dimer testing was implemented. PATIENTS AND METHODS: The cases of 492 patients presenting with either chest pain, dyspnea or syncope for whom this algorithm was applied, were retrospectively analyzed with respect to the incidence of PE, D-dimer and high-sensitive troponin levels. RESULTS: Our algorithm detected PE in 59 out of 492 patients. D-Dimer levels were significantly higher in the PE group than in the patients without PE (p<0.0001). High-sensitive troponin was significantly increased in patients with central PE compared to other patients (p<0.01). CONCLUSION: Our data demonstrate the utility and practicability of our symptom-based algorithm in combination with D-dimer testing and the use of CTPA in patients with suspected PE. |
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Authors:
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Joachim Gruettner; Thomas Walter; Merle Bolte; Dariush Haghi; Sonja Sudarski; Thomas Henzler |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: In vivo (Athens, Greece) Volume: 27 ISSN: 1791-7549 ISO Abbreviation: In Vivo Publication Date: 2013 Mar |
Date Detail:
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Created Date: 2013-02-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8806809 Medline TA: In Vivo Country: Greece |
Other Details:
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Languages: eng Pagination: 215-20 Citation Subset: IM |
Affiliation:
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University Medical Centre Mannheim, Emergency Department, Medical Faculty Mannheim, Heidelberg University, Theodor Kutzer Ufer 1 3, D 68167 Mannheim, Germany. joachim.gruettner@umm.de. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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