Latest & greatest articles for pulmonary embolism

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Top results for pulmonary embolism

81. Blood and Clots Series: My patient has a pulmonary embolism. Should I screen them for cancer?

Blood and Clots Series: My patient has a pulmonary embolism. Should I screen them for cancer? Blood and Clots Series: My patient has a pulmonary embolism. Should I screen them for cancer? - CanadiEM Blood and Clots Series: My patient has a pulmonary embolism. Should I screen them for cancer? In , by Eric Tseng March 20, 2018 All the content from the Blood & Clots series can be found . CanMEDS Roles addressed: Expert, Leader Case Description An 83 year old female presents for follow-up after

2018 CandiEM

82. Prognostic role of neutrophils to lymphocytes ratio in patients with acute pulmonary embolism: a systematic review and meta-analysis of the literature. (Abstract)

Prognostic role of neutrophils to lymphocytes ratio in patients with acute pulmonary embolism: a systematic review and meta-analysis of the literature. The prognostic assessment of patients with acute pulmonary embolism (PE) is essential to drive its management. The search for new prognostic factors is a central issue for a more accurate estimate of short-term adverse events. Circulating neutrophils/lymphocytes ratio (NLR) has been suggested as prognostic biomarker for different cardiovascular

2018 Internal and emergency medicine

83. Systematic review and meta-analysis of outcomes of patients with subsegmental pulmonary embolism with and without anticoagulation treatment. (Full text)

Systematic review and meta-analysis of outcomes of patients with subsegmental pulmonary embolism with and without anticoagulation treatment. This systematic review addresses the controversy over the decision to anticoagulate patients with subsegmental pulmonary embolism (SSPE).We searched Ovid MEDLINE, PubMed, Embase, the Cochrane Library, Scopus, Web of Science, ClinicalTrials.gov, Google Scholar, and bibliographies in March 2017. Two authors reviewed and retained papers with symptomatic (...) patients who underwent computerized tomographic pulmonary angiography and had sufficient information to determine SSPE; decision to treat (or not) with systemic anticoagulation; and outcomes of bleeding, venous thromboembolism (VTE) recurrence, and death. Papers were assessed for selection and publication bias and heterogeneity, with Eggers and the inconsistency indexes (I2 ).From 1,512 papers screened, we included 14 studies comprising 15,563 patients for full-length review and analysis. Pooled data

2018 Academic Emergency Medicine PubMed abstract

84. Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic Events Among Low-Risk Emergency Department Patients: The PROPER Randomized Clinical Trial. (Full text)

Effect of the Pulmonary Embolism Rule-Out Criteria on Subsequent Thromboembolic Events Among Low-Risk Emergency Department Patients: The PROPER Randomized Clinical Trial. The safety of the pulmonary embolism rule-out criteria (PERC), an 8-item block of clinical criteria aimed at ruling out pulmonary embolism (PE), has not been assessed in a randomized clinical trial.To prospectively validate the safety of a PERC-based strategy to rule out PE.A crossover cluster-randomized clinical (...) that was not initially diagnosed. The noninferiority margin was set at 1.5%. Secondary end points included the rate of computed tomographic pulmonary angiography (CTPA), median length of stay in the emergency department, and rate of hospital admission.Among 1916 patients who were cluster-randomized (mean age 44 years, 980 [51%] women), 962 were assigned to the PERC group and 954 were assigned to the control group. A total of 1749 patients completed the trial. A PE was diagnosed at initial presentation in 26 patients

2018 JAMA Controlled trial quality: predicted high PubMed abstract

85. Clinical prediction rules for mortality in patients with pulmonary embolism and cancer to guide outpatient management: a meta-analysis (Full text)

Clinical prediction rules for mortality in patients with pulmonary embolism and cancer to guide outpatient management: a meta-analysis Essentials Clinical prediction rules (CPRs) can stratify patients with pulmonary embolism (PE) and cancer. A meta-analysis was done to assess prognostic accuracy in CPRs for mortality in these patients. Eight studies evaluating ten CPRs were included in this study. CPRs should continue to be used with other patient factors for mortality risk (...) stratification.Background Cancer treatment is commonly complicated by pulmonary embolism (PE), which remains a leading cause of morbidity and mortality in these patients. Some guidelines recommend the use of clinical prediction rules (CPRs) to help clinicians identify patients at low risk of mortality and therefore guide care. Objective To determine and compare the accuracy of available CPRs for identifying cancer patients with PE at low risk of mortality. Methods A literature search of Medline and Scopus (January 2000

2018 EvidenceUpdates PubMed abstract

86. Treating pulmonary embolism at home?

Treating pulmonary embolism at home? Treating pulmonary embolism at home? Toggle navigation Shared more. Cited more. Safe forever. Toggle navigation View Item JavaScript is disabled for your browser. Some features of this site may not work without it. Search MOspace This Collection Browse Statistics Treating pulmonary embolism at home? View/ Open Date 2012-06 Format Metadata Abstract Treat low-risk patients with pulmonary embolism (PE) with low-molecular-weight heparin (LMWH) in an outpatient

2018 PURLS

87. Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism

, SPECT/CT, Single-Photon, Tomography Scanners, V/Q scan, Wells, X-Ray Computed, cardiac echo, d-dimer, lung embolism, pulmonary embolism rule out criteria, thoracic ultrasound, ventilation-perfusion scan, ventilation/perfusion scan Optimal Use Report In Brief PUBLISHED : March 2018 Optimal Use Report Recommendations PUBLISHED : March 2018 Optimal Use Report Infographic PUBLISHED : August 2018 Optimal Use Report Science Report PUBLISHED : January 2018 Optimal Strategies for the Diagnosis of Acute (...) Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism | CADTH.ca Find the information you need Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism Published on: March 1, 2018 Project Number: OP0528-000 Product Line: Research Type: Other Diagnostics Result type: Report Pulmonary embolism (PE) is a blockage of one of the arteries in the lung

2018 CADTH - Optimal Use

88. Pulmonary embolism

Pulmonary embolism Pulmonary embolism - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Pulmonary embolism Last reviewed: February 2019 Last updated: July 2018 Summary Pulmonary embolism (PE) is a life-threatening condition resulting from dislodged thrombi occluding the pulmonary vasculature; right heart failure and cardiac arrest may ensue if not aggressively treated. Symptoms include chest pain, dyspnoea, and a sense (...) , and hypercoagulability. These factors are collectively known as Virchow's triad. Cervantes J, Rojas G. Virchow's legacy: deep vein thrombosis and pulmonary embolism. World J Surg. 2005;29 Suppl 1:S30-4. http://www.ncbi.nlm.nih.gov/pubmed/15818472?tool=bestpractice.com Approximately 51% of deep venous thrombi will embolise to the pulmonary vasculature, resulting in a PE. Huisman MV, Büller HR, ten Cate JW, et al. Unexpected high prevalence of silent pulmonary embolism in patients with deep venous thrombosis. Chest

2018 BMJ Best Practice

89. Interventions to Reduce the Overuse of Imaging for Pulmonary Embolism: A Systematic Review. (Full text)

Interventions to Reduce the Overuse of Imaging for Pulmonary Embolism: A Systematic Review. Imaging use in the diagnostic workup of pulmonary embolism (PE) has increased markedly in the last 2 decades. Low PE prevalence and diagnostic yields suggest a significant problem of overuse.The purpose of this systematic review is to summarize the evidence associated with the interventions aimed at reducing the overuse of imaging in the diagnostic workup of PE in the emergency department and hospital

2018 Journal of Hospital Medicine PubMed abstract

90. Clinical Value of Ultrasonography in Diagnosis of Pulmonary Embolism in Critically Ill Patients (Full text)

Clinical Value of Ultrasonography in Diagnosis of Pulmonary Embolism in Critically Ill Patients Pulmonary embolism (PE) is a clinical emergency that will increase the mortality if complicated with unstable hemodynamics. Because of its nonspecific clinical symptoms, it's a great challenge to make a PE diagnosis. The golden standard to diagnose PE is computed tomography of pulmonary artery (CTPA), but a diagnosis of PE also composed of evaluation of PE risk factors, possibilities, and risk (...) stratification. Ultrasonography may detect right ventricle strain related to hemodynamic change, intravascular thrombosis, thrombosis in right heart or pulmonary arteries, pulmonary infarction, and local pleural effusion. Combination of ultrasound and traditional PE possibility evaluation score may further improve the pretest probability of CTPA. A comprehensive ultrasonography may sometimes rule out PE and may disclose other causes for the clinical situations. A heart-lung-vessel-integrated multiorgan

2017 Journal of translational internal medicine PubMed abstract

91. Global incidence and case fatality rate of pulmonary embolism following major surgery: a protocol for a systematic review and meta-analysis of cohort studies. (Full text)

Global incidence and case fatality rate of pulmonary embolism following major surgery: a protocol for a systematic review and meta-analysis of cohort studies. Pulmonary embolism (PE) is a life-threatening condition common after major surgery. Although the high incidence (0.3-30%) and mortality rate (16.9-31%) of PE in patients undergoing major surgical procedures is apparent from findings of contemporary observational studies, there is a lack of a summary and meta-analysis data

2017 Systematic reviews PubMed abstract

92. No added value of the age-adjusted D-dimer cut-off to the YEARS algorithm in patients with suspected pulmonary embolism (Full text)

No added value of the age-adjusted D-dimer cut-off to the YEARS algorithm in patients with suspected pulmonary embolism Essentials Imaging is warranted in the majority of patients to confirm or rule out pulmonary embolism (PE). The age-adjusted D-dimer (ADJUST) reduced the number of required imaging tests in patients ≥ 50 years. The YEARS algorithm was designed to improve the efficiency in patients with suspected PE. There was no added value of implementing ADJUST in the YEARS algorithm in our (...) cohort.Background The YEARS algorithm was designed to simplify the diagnostic work-up of pulmonary embolism (PE) and to reduce the number of necessary computed tomography pulmonary angiography (CTPA) scans. An alternative strategy to reduce the number of CTPAs is the age-adjusted D-dimer cut-off (ADJUST) in patients aged 50 years or older. We aimed to investigate whether a combination of both diagnostic strategies might save additional CTPAs. Methods The YEARS algorithm consists of three items (clinical signs

2017 EvidenceUpdates PubMed abstract

93. Comparison between CT and MRI in the assessment of pulmonary embolism: A meta-analysis. (Full text)

Comparison between CT and MRI in the assessment of pulmonary embolism: A meta-analysis. Besides pulmonary arteriography, a number of imaging techniques, such as magnetic resonance imaging (MRI) and computed tomography (CT), were adopted in the detection of identifying pulmonary embolism (PE). However, the contrast of sensitivity and specificity in these methods was studied little in a statistical way. To compare the effects of MRI and CT, this study used a series of methods to analyze data

2017 Medicine PubMed abstract

94. Erratum: Pulmonary Embolism and Atrial Fibrillation: Two Sides of the Same Coin? A Systematic Review. (Full text)

Erratum: Pulmonary Embolism and Atrial Fibrillation: Two Sides of the Same Coin? A Systematic Review. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

2017 Seminars In Thrombosis And Hemostasis PubMed abstract

95. Efficacy and safety outcomes of recanalisation procedures in patients with acute symptomatic pulmonary embolism: systematic review and network meta-analysis. (Abstract)

Efficacy and safety outcomes of recanalisation procedures in patients with acute symptomatic pulmonary embolism: systematic review and network meta-analysis. We aimed to review the efficacy and safety of recanalisation procedures for the treatment of PE.We searched PubMed, the Cochrane Library, EMBASE, EBSCO, Web of Science and CINAHL databases from inception through 31 July 2015 and included randomised clinical trials that compared the effect of a recanalisation procedure versus each other

2017 Thorax

96. Incremental diagnostic quality gain of CTA over V/Q scan in the assessment of pulmonary embolism by means of a Wells score Bayesian model: results from the ACDC collaboration. (Abstract)

Incremental diagnostic quality gain of CTA over V/Q scan in the assessment of pulmonary embolism by means of a Wells score Bayesian model: results from the ACDC collaboration. Our objective was to evaluate the diagnostic value of computed tomography angiography (CTA) and ventilation perfusion (V/Q) scan in the assessment of pulmonary embolism (PE) by means of a Bayesian statistical model.Wells criteria defined pretest probability. Sensitivity and specificity of CTA and V/Q scan for PE were (...) no significant difference (p = 0.8745, p = 0.9841 respectively).This Bayesian model demonstrated a superiority of CTA when compared to V/Q scan for the diagnosis of pulmonary embolism. Low-risk patients are recognized to have a superior overall comparative gain favoring CTA.

2017 Emergency radiology

97. Blood and Clots Quizlet 1: Oral Contraceptives and Pulmonary Embolism

Blood and Clots Quizlet 1: Oral Contraceptives and Pulmonary Embolism Blood and Clots Quizlet 1: Oral Contraceptives and Pulmonary Embolism - CanadiEM Blood and Clots Quizlet 1: Oral Contraceptives and Pulmonary Embolism In , by Eric Tseng October 27, 2017 Hello Blood & Clots/CanadiEM community! Before we post our blog series on thrombosis and bleeding, we encourage you to test your initial knowledge by going through a few brief case scenarios. These cases were originally posted as part of our (...) ”. On examination, Maria is a well-appearing, average sized young woman. Her vitals reveal T=37C, HR 85, BP 110/90, RR 15, SpO2 99% RA. Head and neck exam is normal. Cardiorespiratory examination is normal and there is no jugular venous distension. The chest pain is not reproducible with palpation or movement. She does endorse mild bilateral calf pain that she attributes to running. ECG performed at triage shows NSR and no signs of S1Q3T3 or RBBB. Question 1: What is the pre-test probability for pulmonary

2017 CandiEM

98. Prevalence of pulmonary embolism in patients presenting with syncope. A systematic review and meta-analysis. (Abstract)

Prevalence of pulmonary embolism in patients presenting with syncope. A systematic review and meta-analysis. Syncope is a common clinical presentation and establishing an etiology is often challenging. Pulmonary embolism (PE) has been thought to be an uncommon cause but a recent report suggested otherwise.To establish the prevalence of PE in patients presenting with syncope to the emergency department (ED) and in hospitalized patients.We systematically searched Medline, CINAHL, EMBASE, LILACS

2017 The American journal of emergency medicine

99. Inferior Vena Cava Filters to Prevent Pulmonary Embolism: Systematic Review and Meta-Analysis. (Full text)

Inferior Vena Cava Filters to Prevent Pulmonary Embolism: Systematic Review and Meta-Analysis. Inferior vena cava (IVC) filters are widely used for prevention of pulmonary embolism (PE). However, uncertainty persists about their efficacy and safety.The authors conducted a systematic review and meta-analysis of the published reports on the efficacy and safety of IVC filters.The authors searched PubMed, the Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov through October 3

2017 Journal of the American College of Cardiology PubMed abstract

100. Approaches to Diagnosing Acute Pulmonary Embolism in Canada: current practice, challenges, and availability of testing

Approaches to Diagnosing Acute Pulmonary Embolism in Canada: current practice, challenges, and availability of testing Approaches to Diagnosing Acute Pulmonary Embolism in Canada: current practice, challenges, and availability of testing | CADTH.ca Find the information you need Approaches to Diagnosing Acute Pulmonary Embolism in Canada: current practice, challenges, and availability of testing Approaches to Diagnosing Acute Pulmonary Embolism in Canada: current practice, challenges (...) , and availability of testing Published on: September 8, 2017 Project Number: ES0307-000 Product Line: Result type: Report CADTH undertook an environmental scan to identify and summarize information regarding pulmonary embolism (PE) imaging in Canada. The scan described current practice, challenges, and enablers in diagnosing PE, and the availability of tests, scans, and tools for diagnosing PE. The key objectives of this environmental scan were as follows: Identify current practice related to diagnostic

2017 Canadian Agency for Drugs and Technologies in Health - Environmental Scanning