Latest & greatest articles for pulmonary embolism

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Top results for pulmonary embolism

181. Cost-effectiveness of lower extremity compression ultrasound in emergency department patients with a high risk of hemodynamically stable pulmonary embolism

Cost-effectiveness of lower extremity compression ultrasound in emergency department patients with a high risk of hemodynamically stable pulmonary embolism Cost-effectiveness of lower extremity compression ultrasound in emergency department patients with a high risk of hemodynamically stable pulmonary embolism Cost-effectiveness of lower extremity compression ultrasound in emergency department patients with a high risk of hemodynamically stable pulmonary embolism Ward MJ, Sodickson A, Diercks (...) angiogram for patients with suspected pulmonary embolism in the emergency department. The selective strategy was less expensive and more beneficial than universal CT, for patients with a high pre-test probability of pulmonary embolism. The cost-effectiveness framework was conventional, but the sources of clinical evidence were not extensively described. The authors’ conclusions seem robust. Type of economic evaluation Cost-utility analysis Study objective This study examined the cost-effectiveness

2011 NHS Economic Evaluation Database.

182. Current evidence does not support the use of a negative D-dimer to rule out suspected pulmonary embolism in pregnancy.

Institution: Manchester Royal Infirmary Date Submitted: 27th October 2004 Date Completed: 9th March 2011 Last Modified: 10th March 2011 Status: Green (complete) Three Part Question In [a clinically well pregnant patient with a suspected Pulmonary Embolism] is [a negative D-dimer sensitive enough] to [exclude Pulmonary Embolism] Clinical Scenario A patient attends the emergency department (ED) with atraumatic pleuritic chest pain. She is 12 weeks pregnant with no other medical history. A junior doctor has (...) Current evidence does not support the use of a negative D-dimer to rule out suspected pulmonary embolism in pregnancy. BestBets: Current evidence does not support the use of a negative D-dimer to rule out suspected pulmonary embolism in pregnancy. Current evidence does not support the use of a negative D-dimer to rule out suspected pulmonary embolism in pregnancy. Report By: Sivanthi Sivanadarajah - Speciality Trainee in Emergency Medicine Search checked by Daniel Horner - Research Fellow

2011 BestBETS

183. The shock index and the simplified PESI for identification of low-risk patients with acute pulmonary embolism Full Text available with Trip Pro

The shock index and the simplified PESI for identification of low-risk patients with acute pulmonary embolism We compared the test characteristics of the shock index (SI) and the simplified pulmonary embolism severity index (sPESI) for predicting 30-day outcomes in a cohort of 1,206 patients with objectively confirmed pulmonary embolism (PE). The primary outcome of the study was all-cause mortality. The secondary outcome was nonfatal symptomatic recurrent venous thromboembolism (VTE

2011 EvidenceUpdates

184. Quality Improvement Guidelines for the Performance of Inferior Vena Cava Filter Placement for the Prevention of Pulmonary Embolism

Quality Improvement Guidelines for the Performance of Inferior Vena Cava Filter Placement for the Prevention of Pulmonary Embolism STANDARDS OF PRACTICE Quality Improvement Guidelines for the Performance of Inferior Vena Cava Filter Placement for the Prevention of Pulmonary Embolism Drew M. Caplin, MD, Boris Nikolic, MD, MBA, Sanjeeva P. Kalva, MD, Suvranu Ganguli, MD, Wael E.A. Saad, MD, and Darryl A. Zuckerman, MD, for the Society of Interventional Radiology Standards of Practice Committee (...) ABBREVIATIONS DVT deep vein thrombosis, IVC inferior vena cava, PE pulmonary embolism PREAMBLE The membership of the Society of Interventional Radiology (SIR) Stan- dards of Practice Committee represents experts in a broad spectrum of interventional procedures from both the private and academic sectors of medicine. Generally Standards of Practice Committee members dedicate the vast majority of their professional time to performing interventional procedures; as such they represent a valid broad expert

2011 Society of Interventional Radiology

185. Evaluation of Suspected Pulmonary Embolism In Pregnancy: An Official ATS/STR Clinical Practice Guideline

Evaluation of Suspected Pulmonary Embolism In Pregnancy: An Official ATS/STR Clinical Practice Guideline American Thoracic Society Documents AnOf?cialAmericanThoracicSociety/Societyof ThoracicRadiologyClinicalPracticeGuideline: EvaluationofSuspectedPulmonaryEmbolism InPregnancy Ann N. Leung, Todd M. Bull, Roman Jaeschke, Charles J. Lockwood, Phillip M. Boiselle, Lynne M. Hurwitz, Andra H. James, Laurence B. McCullough, Yusuf Menda, Michael J. Paidas, Henry D. Royal, Victor F. Tapson, Helen T (...) . Winer-Muram, Frank A. Chervenak, Dianna D. Cody, Michael F. McNitt-Gray, Christopher D. Stave, and Brandi D. Tuttle,on behalf of the ATS/STR Committee on Pulmonary Embolism in Pregnancy THIS OFFICIAL CLINICAL PRACTICE GUIDELINE OF THE AMERICAN THORACIC SOCIETY (ATS) AND THESOCIETY OFTHORACIC RADIOLOGY(STR) WAS APPROVED BY THEATS BOARD OF DIRECTORS,MARCH 2011 AND BY THE STR, MAY 2011 THIS CLINICAL PRACTICE GUIEDLINE HAS BEEN FORMALLY ENDORSED BY THE AMERICAN COLLEGE OF OBSTETRICIANS ANDGYNECOLOGISTS

2011 American Thoracic Society

186. Outpatient versus inpatient treatment for patients with acute pulmonary embolism: an international, open-label, randomised, non-inferiority trial. (Abstract)

Outpatient versus inpatient treatment for patients with acute pulmonary embolism: an international, open-label, randomised, non-inferiority trial. Although practice guidelines recommend outpatient care for selected, haemodynamically stable patients with pulmonary embolism, most treatment is presently inpatient based. We aimed to assess non-inferiority of outpatient care compared with inpatient care.We undertook an open-label, randomised non-inferiority trial at 19 emergency departments (...) in Switzerland, France, Belgium, and the USA. We randomly assigned patients with acute, symptomatic pulmonary embolism and a low risk of death (pulmonary embolism severity index risk classes I or II) with a computer-generated randomisation sequence (blocks of 2-4) in a 1:1 ratio to initial outpatient (ie, discharged from hospital ≤24 h after randomisation) or inpatient treatment with subcutaneous enoxaparin (≥5 days) followed by oral anticoagulation (≥90 days). The primary outcome was symptomatic, recurrent

2011 Lancet Controlled trial quality: predicted high

187. Cost-effective diagnostic strategies in patients with a high, intermediate, or low clinical probability of pulmonary embolism Full Text available with Trip Pro

Cost-effective diagnostic strategies in patients with a high, intermediate, or low clinical probability of pulmonary embolism Cost-effective diagnostic strategies in patients with a high, intermediate, or low clinical probability of pulmonary embolism Cost-effective diagnostic strategies in patients with a high, intermediate, or low clinical probability of pulmonary embolism Lee JA, Zierler BK, Liu CF, Chapko MK Record Status This is a critical abstract of an economic evaluation that meets (...) the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary This study examined the cost-effectiveness of strategies, including rapid quantitative D-dimer assays, lower extremity venous duplex ultrasound, ventilation and perfusion scans, and multislice computed tomography (CT) angiography, to diagnose pulmonary embolism in patients

2011 NHS Economic Evaluation Database.

188. Computer-aided detection of pulmonary embolism

Computer-aided detection of pulmonary embolism Computer-aided detection of pulmonary embolism Computer-aided detection of pulmonary embolism Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Computer-aided detection of pulmonary embolism. Lansdale: HAYES, Inc.. Directory Publication. 2011 Authors' conclusions Computer-aided detection (CAD) systems utilize computer (...) -based algorithms to identify pulmonary embolism (PE) in radiographic images. CAD systems are used as stand-alone devices or as tools to help radiologists more accurately diagnose patients suspected of PE. Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Algorithms; Pulmonary Artery; Pulmonary Embolism; Radiographic Image Interpretation, Computer-Assisted; Tomography, X-Ray Computed Language Published English Country of organisation United

2011 Health Technology Assessment (HTA) Database.

189. Comparing different thrombolytic dosing regimens for treatment of acute pulmonary embolism Full Text available with Trip Pro

of major hemorrhage following fibrinolysis for acute pulmonary embolism. Am J Cardiol. 2006, 97: 127-129. 10.1016/j.amjcard.2005.07.117. Goldhaber SZ, Agnelli G, Levine MN: Reduced dose bolus alteplase vs conventional alteplase infusion for pulmonary embolism thrombolysis. An international multicenter randomized trial. The Bolus Alteplase Pulmonary Embolism Group. Chest. 1994, 106: 718-724. 10.1378/chest.106.3.718. Levine M, Hirsh J, Weitz J, Cruickshank M, Neemeh J, Turpie AG, Gent M: A randomized (...) trial of a single bolus dosage regimen of recombinant tissue plasminogen activator in patients with acute pulmonary embolism. Chest. 1990, 98: 1473-1479. 10.1378/chest.98.6.1473. Wang C, Zhai Z, Yang Y, Wu Q, Cheng Z, Liang L, Dai H, Huang K, Lu W, Zhang Z, Cheng X, Shen YH: Efficacy and safety of low dose recombinant tissue-type plasminogen activator for the treatment of acute pulmonary thromboembolism: a randomized, multicenter, controlled trial. Chest. 2010, 137: 254-262. 10.1378/chest.09-0765. ©

2010 Critical Care - EBM Journal Club

190. Cost-effectiveness of strategies for diagnosing pulmonary embolism among emergency department patients presenting with undifferentiated symptoms Full Text available with Trip Pro

Cost-effectiveness of strategies for diagnosing pulmonary embolism among emergency department patients presenting with undifferentiated symptoms Symptoms associated with pulmonary embolism can be nonspecific and similar to many competing diagnoses, leading to excessive costly testing and treatment, as well as missed diagnoses. Objective studies are essential for diagnosis. This study evaluates the cost-effectiveness of different diagnostic strategies in an emergency department (ED) for patients (...) ultrasonography accuracy had to decrease below commonly cited levels in the literature before it was not part of a preferred strategy.When pulmonary embolism is suspected in the ED, use of an enzyme-linked immunosorbent assay D-dimer assay, often at cutoffs higher than those currently in use (for patients in whom deep venous thrombosis is not clinically suspected), followed by compression ultrasonography as appropriate, can reduce costs and improve outcomes.Copyright © 2010 American College of Emergency

2010 EvidenceUpdates

191. Acute pulmonary embolism. Full Text available with Trip Pro

Acute pulmonary embolism. 21067400 2010 11 30 2018 05 09 1533-4406 363 20 2010 11 11 The New England journal of medicine N. Engl. J. Med. Acute pulmonary embolism. 1974; author reply 1974-5 10.1056/NEJMc1009061 Lazar Harold L HL Farber Harrison W HW eng Letter Comment United States N Engl J Med 0255562 0028-4793 AIM IM N Engl J Med. 2010 Jul 15;363(3):266-74 20592294 Acute Disease Embolectomy Hemorrhage chemically induced Humans Pulmonary Embolism drug therapy mortality surgery Risk

2010 NEJM

192. Acute pulmonary embolism. Full Text available with Trip Pro

Acute pulmonary embolism. 21067401 2010 11 30 2018 05 09 1533-4406 363 20 2010 11 11 The New England journal of medicine N. Engl. J. Med. Acute pulmonary embolism. 1973-4; author reply 1974-5 10.1056/NEJMc1009061 Huber Lars C LC Müller Véronique V eng Letter Comment United States N Engl J Med 0255562 0028-4793 AIM IM N Engl J Med. 2010 Jul 15;363(3):266-74 20592294 Chest Pain etiology Electrocardiography Humans Pulmonary Embolism diagnosis 2010 11 12 6 0 2010 11 12 6 0 2010 12 14 6 0 ppublish

2010 NEJM

193. Acute pulmonary embolism. Full Text available with Trip Pro

Acute pulmonary embolism. 21067402 2010 11 30 2018 05 09 1533-4406 363 20 2010 11 11 The New England journal of medicine N. Engl. J. Med. Acute pulmonary embolism. 1973; author reply 1974-5 10.1056/NEJMc1009061 Rosenson Jonathan J eng Letter Comment United States N Engl J Med 0255562 0028-4793 0 Fibrin Fibrinogen Degradation Products 0 fibrin fragment D AIM IM N Engl J Med. 2010 Jul 15;363(3):266-74 20592294 False Positive Reactions Fibrin Fibrinogen Degradation Products analysis Humans (...) Pulmonary Embolism diagnosis Tomography, X-Ray Computed adverse effects economics 2010 11 12 6 0 2010 11 12 6 0 2010 12 14 6 0 ppublish 21067402 10.1056/NEJMc1009061 10.1056/NEJMc1009061#SA4

2010 NEJM

194. Acute pulmonary embolism. Full Text available with Trip Pro

Acute pulmonary embolism. 21067403 2010 11 30 2018 05 09 1533-4406 363 20 2010 11 11 The New England journal of medicine N. Engl. J. Med. Acute pulmonary embolism. 1973; author reply 1974-5 10.1056/NEJMc1009061 Sfedu Emil P EP Bhatt Anish A Fauth Casey C eng Letter Comment United States N Engl J Med 0255562 0028-4793 AIM IM N Engl J Med. 2010 Jul 15;363(3):266-74 20592294 Humans Perfusion Imaging Pulmonary Embolism diagnosis Recurrence Tomography, X-Ray Computed Ultrasonography, Doppler, Duplex

2010 NEJM

195. Acute pulmonary embolism. Full Text available with Trip Pro

Acute pulmonary embolism. 21067404 2010 11 30 2018 05 09 1533-4406 363 20 2010 11 11 The New England journal of medicine N. Engl. J. Med. Acute pulmonary embolism. 1972-3; author reply 1974-5 10.1056/NEJMc1009061 Roach Paul J PJ Bajc Marika M eng Letter Comment United States N Engl J Med 0255562 0028-4793 AIM IM N Engl J Med. 2010 Jul 15;363(3):266-74 20592294 Humans Perfusion Imaging Pulmonary Embolism diagnosis diagnostic imaging Tomography, Emission-Computed, Single-Photon methods Tomography

2010 NEJM

196. Acute pulmonary embolism. Full Text available with Trip Pro

Acute pulmonary embolism. 21067405 2010 11 30 2018 05 09 1533-4406 363 20 2010 11 11 The New England journal of medicine N. Engl. J. Med. Acute pulmonary embolism. 1972; author reply 1974-5 10.1056/NEJMc1009061 Hochhegger Bruno B Marchiori Edson E Irion Klaus K eng Letter Comment United States N Engl J Med 0255562 0028-4793 AIM IM N Engl J Med. 2010 Jul 15;363(3):266-74 20592294 Acute Disease Humans Magnetic Resonance Imaging Pulmonary Embolism diagnosis 2010 11 12 6 0 2010 11 12 6 0 2010 12 14

2010 NEJM

198. D-dimer and exhaled CO2/O2 to detect segmental pulmonary embolism in moderate-risk patients Full Text available with Trip Pro

D-dimer and exhaled CO2/O2 to detect segmental pulmonary embolism in moderate-risk patients Pulmonary embolism (PE) decreases the exhaled end-tidal ratio of carbon dioxide to oxygen (etCO(2)/O(2)).To test if the etCO(2)/O(2) can produce clinically important changes in the probability of segmental or larger PE on computerized tomography multidetector-row pulmonary angiography (MDCTPA) in a moderate-risk population with a positive D-dimer.Emergency department and hospitalized patients with one

2010 EvidenceUpdates

199. Simplification of the Pulmonary Embolism Severity Index for Prognostication in Patients With Acute Symptomatic Pulmonary Embolism Full Text available with Trip Pro

Simplification of the Pulmonary Embolism Severity Index for Prognostication in Patients With Acute Symptomatic Pulmonary Embolism The Pulmonary Embolism Severity Index (PESI) estimates the risk of 30-day mortality in patients with acute pulmonary embolism (PE). We constructed a simplified version of the PESI.The study retrospectively developed a simplified PESI clinical prediction rule for estimating the risk of 30-day mortality in a derivation cohort of Spanish outpatients. Simplified

2010 EvidenceUpdates

200. Use of bedside echocardiography for the diagnosis of pulmonary embolism in the Emergency Department

Use of bedside echocardiography for the diagnosis of pulmonary embolism in the Emergency Department BestBets: Use of bedside echocardiography for the diagnosis of pulmonary embolism in the Emergency Department Use of bedside echocardiography for the diagnosis of pulmonary embolism in the Emergency Department Report By: Janos Peter Baombe - Speciality Emergency Trainee Search checked by Dan Horner - Specialist Registrar Institution: Manchester Royal Infirmary Date Submitted: 13th February 2009 (...) Date Completed: 12th August 2010 Last Modified: 13th August 2010 Status: Green (complete) Three Part Question [In a previously fit and well patient presenting with clinical suspicion of pulmonary embolism] is [bedside transthoracic echocardiography compared to pulmonary angiography] specific and sensitive enough as a diagnostic test [to confirm or refute submassive/massive pulmonary embolism (PE)]? Clinical Scenario A 33 year-old male is brought into the emergency department with an episode

2010 BestBETS