Computerised clinical decision support for suspected PE: Table 1
Autor: | Ana K. Portillo, Paul L. den Exter, Lisa K. Moores, Santiago Resano, Remedios Otero, Carolina Jurkojc, Agustina Vicente, Menno V. Huisman, David Jiménez, Jesús Corres, Pedro Ruiz-Artacho, Roger D. Yusen |
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Rok vydání: | 2015 |
Předmět: |
Pulmonary and Respiratory Medicine
Ct pulmonary angiography medicine.medical_specialty medicine.diagnostic_test business.industry Emergency department Diagnostic evaluation medicine.disease Clinical decision support system Pulmonary embolism Tomography x ray computed Internal medicine Angiography medicine In patient Radiology business |
Zdroj: | Thorax. 70:909-911 |
ISSN: | 1468-3296 0040-6376 |
Popis: | This study aimed to determine the effect of an evidence-based clinical decision support (CDS) algorithm on the use and yield of CT pulmonary angiography (CTPA) and on outcomes of patients evaluated in the emergency department (ED) for suspected PE. The study included 1363 consecutive patients evaluated for suspected PE in an ED during 12 months before and 12 months after initiation of CDS use. Introduction of CDS was associated with decreased CTPA use (55% vs 49%; absolute difference (AD), 6.3%; 95% CI 1.0% to 11.6%; p=0.02). The use of CDS was associated with fewer symptomatic venous thromboembolic events during follow-up in patients with an initial negative diagnostic evaluation for PE (0.7% vs 3.2%; AD 2.5%; 95% CI 0.9% to 4.6%; p |
Databáze: | OpenAIRE |
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