Latest & greatest articles for pulmonary embolism

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Top results for pulmonary embolism

161. Risk of pulmonary embolism in patients with autoimmune disorders: a nationwide follow-up study from Sweden.

Risk of pulmonary embolism in patients with autoimmune disorders: a nationwide follow-up study from Sweden. BACKGROUND: Some autoimmune disorders have been linked to venous thromboembolism. We examined whether there is an association between autoimmune disorders and risk of pulmonary embolism. METHODS: We followed up all individuals in Sweden without previous hospital admission for venous thromboembolism and with a primary or secondary diagnosis of an autoimmune disorder between Jan 1, 1964 (...) , and Dec 31, 2008, for hospital admission for pulmonary embolism. We obtained data from the MigMed2 database, which has individual-level information about all registered residents of Sweden. The reference population was the total population of Sweden. We calculated standardised incidence ratios (SIRs) for pulmonary embolism, adjusted for individual variables, including age and sex. FINDINGS: 535,538 individuals were admitted to hospital because of an autoimmune disorder. Overall risk of pulmonary embolism

Lancet2011

162. Clinical decision rules for excluding pulmonary embolism: a meta-analysis

Clinical decision rules for excluding pulmonary embolism: a meta-analysis Clinical decision rules for excluding pulmonary embolism: a meta-analysis Clinical decision rules for excluding pulmonary embolism: a meta-analysis Lucassen W, Geersing GJ, Erkens PM, Reitsma JB, Moons KG, Buller H, van Weert HC CRD summary This review concluded that clinical decision rules or Gestalt could safely exclude pulmonary embolism, when combined with sensitive D-dimer testing. Standardised decision rules were (...) recommended over Gestalt. The review was generally well conducted, but the conclusions and implications for practice seem to be too strong for the evidence presented. Authors' objectives To compare the failure rates of standard clinical assessment (Gestalt) and clinical decision rules, when used in combination with D-dimer testing, to diagnose pulmonary embolism in adults with suspected pulmonary embolism. Searching MEDLINE and EMBASE were searched for articles published in English, French, German

DARE.2011

163. Multidetector computed tomography for acute pulmonary embolism: diagnosis and risk stratification in a single test

Multidetector computed tomography for acute pulmonary embolism: diagnosis and risk stratification in a single test 21504936 2011 07 04 2012 01 06 2016 11 25 1522-9645 32 13 2011 Jul European heart journal Eur. Heart J. Multidetector computed tomography for acute pulmonary embolism: diagnosis and risk stratification in a single test. 1657-63 10.1093/eurheartj/ehr108 In patients with acute pulmonary embolism (PE), right ventricular dysfunction at echocardiography is associated with increased (...) in-hospital mortality. The aims of this study in patients with acute PE were to identify a sensitive and simple criterion for right ventricular dysfunction at multidetector computed tomography (MDCT) using echocardiography as the reference standard and to evaluate the predictive value of the identified MDCT criterion for in-hospital death or clinical deterioration. Right ventricular dysfunction at MDCT was defined as the right-to-left ventricular dimensional ratio and was centrally assessed by a panel

EvidenceUpdates2011

164. Ventilation/perfusion scintigraphy (using Technegas) versus computed tomography pulmonary angiography for the diagnosis of pulmonary embolism in hospitalized patients: a review of the clinical and cost-effectiveness

Ventilation/perfusion scintigraphy (using Technegas) versus computed tomography pulmonary angiography for the diagnosis of pulmonary embolism in hospitalized patients: a review of the clinical and cost-effectiveness Ventilation/perfusion scintigraphy (using Technegas) versus computed tomography pulmonary angiography for the diagnosis of pulmonary embolism in hospitalized patients: a review of the clinical and cost-effectiveness Ventilation/perfusion scintigraphy (using Technegas) versus (...) computed tomography pulmonary angiography for the diagnosis of pulmonary embolism in hospitalized patients: a review of the clinical and cost-effectiveness Canadian Agency for Drugs and Technologies in Health Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Canadian Agency for Drugs and Technologies in Health. Ventilation/perfusion scintigraphy

Health Technology Assessment (HTA) Database.2011

165. Performance of 4 Clinical Decision Rules in the Diagnostic Management of Acute Pulmonary Embolism: A Prospective Cohort Study.

Performance of 4 Clinical Decision Rules in the Diagnostic Management of Acute Pulmonary Embolism: A Prospective Cohort Study. BACKGROUND: Several clinical decision rules (CDRs) are available to exclude acute pulmonary embolism (PE), but they have not been directly compared. OBJECTIVE: To directly compare the performance of 4 CDRs (Wells rule, revised Geneva score, simplified Wells rule, and simplified revised Geneva score) in combination with d-dimer testing to exclude PE. DESIGN: Prospective (...) cohort study. SETTING: 7 hospitals in the Netherlands. PATIENTS: 807 consecutive patients with suspected acute PE. INTERVENTION: The clinical probability of PE was assessed by using a computer program that calculated all CDRs and indicated the next diagnostic step. Results of the CDRs and d-dimer tests guided clinical care. MEASUREMENTS: Results of the CDRs were compared with the prevalence of PE identified by computed tomography or venous thromboembolism at 3-month follow-up. RESULTS: Prevalence

Annals of Internal Medicine2011

166. 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

NHS Economic Evaluation Database.2011

167. 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. 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 (...) 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

BestBETS2011

168. The shock index and the simplified PESI for identification of low-risk patients with acute pulmonary embolism

The shock index and the simplified PESI for identification of low-risk patients with acute pulmonary embolism 20650994 2011 04 01 2011 07 22 2013 05 23 1399-3003 37 4 2011 Apr The European respiratory journal Eur. Respir. J. The shock index and the simplified PESI for identification of low-risk patients with acute pulmonary embolism. 762-6 10.1183/09031936.00070110 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) or nonfatal major bleeding. Overall, 119 (9.9%) out of 1,206 patients died (95% CI 8.2-11.5%) during the first month of follow-up. The sPESI classified fewer patients as low-risk (369 (31%) out of 1,206 patients, 95% CI 28-33%) compared to the SI (1,024

EvidenceUpdates2011

169. 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

Health Technology Assessment (HTA) Database.2011

170. 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 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

NHS Economic Evaluation Database.2011

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

Outpatient versus inpatient treatment for patients with acute pulmonary embolism: an international, open-label, randomised, non-inferiority trial. 21703676 2011 07 04 2011 08 11 2015 06 16 1474-547X 378 9785 2011 Jul 02 Lancet (London, England) Lancet Outpatient versus inpatient treatment for patients with acute pulmonary embolism: an international, open-label, randomised, non-inferiority trial. 41-8 10.1016/S0140-6736(11)60824-6 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

Lancet2011

172. 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 Journal of Vascular and Interventional Radiology Email/Username: Password: Remember me Available now: Use your SIR login to access JVIR. Search Terms Search within Search Share this page Copyright © 2018 Inc. All rights reserved. | | | | | | The content on this site is intended for health professionals. We use cookies to help provide and enhance our service

Society of Interventional Radiology2011

173. 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

American Thoracic Society2011

174. Comparing different thrombolytic dosing regimens for treatment of acute pulmonary embolism

Comparing different thrombolytic dosing regimens for treatment of acute pulmonary embolism Comparing different thrombolytic dosing regimens for treatment of acute pulmonary embolism | Critical Care | Full Text Advertisement Search BioMed Central articles Search Impact Factor 4.950 Main menu Journal club critique Open Access Comparing different thrombolytic dosing regimens for treatment of acute pulmonary embolism Ammar Ghanem and Sachin Yende Critical Care 2010 14 :323 DOI: 10.1186/cc9287 (...) , with the hypothesis that clinical efficacy would be similar but bleeding risk would be lower. In conclusion, this trial did not prove differences in efficacy between low dose and high dose rt-PA regimens. The secondary analyses showing that lower dose of rt-PA may lower the risk of bleeding suggest a need for additional studies to use weight-based regimens to reduce risk of bleeding. Notes Agnelli G, Becattini C, Kirschstein T: Thrombolysis vs heparin in the treatment of pulmonary embolism: a clinical outcome

Critical Care - EBM Journal Club2010 Full Text: Link to full Text with Trip Pro

175. Cost-effectiveness of strategies for diagnosing pulmonary embolism among emergency department patients presenting with undifferentiated symptoms

Cost-effectiveness of strategies for diagnosing pulmonary embolism among emergency department patients presenting with undifferentiated symptoms 20605261 2010 09 27 2010 10 19 2017 02 20 1097-6760 56 4 2010 Oct Annals of emergency medicine Ann Emerg Med Cost-effectiveness of strategies for diagnosing pulmonary embolism among emergency department patients presenting with undifferentiated symptoms. 321-332.e10 10.1016/j.annemergmed.2010.03.029 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 presenting with undifferentiated symptoms suggestive of pulmonary embolism. Using a probabilistic decision model, we evaluated the incremental costs and effectiveness (quality-adjusted life-years gained

EvidenceUpdates2010 Full Text: Link to full Text with Trip Pro

177. Acute pulmonary embolism.

Acute pulmonary embolism. Acute pulmonary embolism. - PubMed - NCBI Warning: The NCBI web site requires JavaScript to function. Search database Search term Search Result Filters Format Summary Summary (text) Abstract Abstract (text) MEDLINE XML PMID List Apply Choose Destination File Clipboard Collections E-mail Order My Bibliography Citation manager Format Create File 1 selected item: 21067400 Format MeSH and Other Data E-mail Subject Additional text E-mail Add to Clipboard Add to Collections (...) Order articles Add to My Bibliography Generate a file for use with external citation management software. Create File 2010 Nov 11;363(20):1974; author reply 1974-5. doi: 10.1056/NEJMc1009061#SA6. Acute pulmonary embolism. , . Comment on [N Engl J Med. 2010] PMID: 21067400 DOI: [Indexed for MEDLINE] Publication types MeSH terms Full Text Sources Medical PubMed Commons 0 comments How to cite this comment: Supplemental Content Full text links You are here: > > PubMed Simple NCBI Directory Getting

NEJM2010 Full Text: Link to full Text with Trip Pro

178. Acute pulmonary embolism.

Acute pulmonary embolism. Acute pulmonary embolism. - PubMed - NCBI Warning: The NCBI web site requires JavaScript to function. Search database Search term Search Result Filters Format Summary Summary (text) Abstract Abstract (text) MEDLINE XML PMID List Apply Choose Destination File Clipboard Collections E-mail Order My Bibliography Citation manager Format Create File 1 selected item: 21067401 Format MeSH and Other Data E-mail Subject Additional text E-mail Add to Clipboard Add to Collections (...) Order articles Add to My Bibliography Generate a file for use with external citation management software. Create File 2010 Nov 11;363(20):1973-4; author reply 1974-5. doi: 10.1056/NEJMc1009061#SA5. Acute pulmonary embolism. , . Comment on [N Engl J Med. 2010] PMID: 21067401 DOI: [Indexed for MEDLINE] Publication types MeSH terms Full Text Sources Medical PubMed Commons 0 comments How to cite this comment: Supplemental Content Full text links You are here: > > PubMed Simple NCBI Directory Getting

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179. Acute pulmonary embolism.

Acute pulmonary embolism. Acute pulmonary embolism. - PubMed - NCBI Warning: The NCBI web site requires JavaScript to function. Search database Search term Search Result Filters Format Summary Summary (text) Abstract Abstract (text) MEDLINE XML PMID List Apply Choose Destination File Clipboard Collections E-mail Order My Bibliography Citation manager Format Create File 1 selected item: 21067402 Format MeSH and Other Data E-mail Subject Additional text E-mail Add to Clipboard Add to Collections (...) Order articles Add to My Bibliography Generate a file for use with external citation management software. Create File 2010 Nov 11;363(20):1973; author reply 1974-5. doi: 10.1056/NEJMc1009061#SA4. Acute pulmonary embolism. . Comment on [N Engl J Med. 2010] PMID: 21067402 DOI: [Indexed for MEDLINE] Publication types MeSH terms Substances Full Text Sources Medical PubMed Commons 0 comments How to cite this comment: Supplemental Content Full text links You are here: > > PubMed Simple NCBI Directory

NEJM2010 Full Text: Link to full Text with Trip Pro

180. Acute pulmonary embolism.

Acute pulmonary embolism. Acute pulmonary embolism. - PubMed - NCBI Warning: The NCBI web site requires JavaScript to function. Search database Search term Search Result Filters Format Summary Summary (text) Abstract Abstract (text) MEDLINE XML PMID List Apply Choose Destination File Clipboard Collections E-mail Order My Bibliography Citation manager Format Create File 1 selected item: 21067403 Format MeSH and Other Data E-mail Subject Additional text E-mail Add to Clipboard Add to Collections (...) Order articles Add to My Bibliography Generate a file for use with external citation management software. Create File 2010 Nov 11;363(20):1973; author reply 1974-5. doi: 10.1056/NEJMc1009061#SA3. Acute pulmonary embolism. , , . Comment on [N Engl J Med. 2010] PMID: 21067403 DOI: [Indexed for MEDLINE] Publication types MeSH terms Full Text Sources Medical PubMed Commons 0 comments How to cite this comment: Supplemental Content Full text links You are here: > > PubMed Simple NCBI Directory Getting

NEJM2010 Full Text: Link to full Text with Trip Pro