Deferral of assessment of pulmonary embolism
Autor: | Maria Antonietta Bressan, Antonino Giarratano, Guglielmo Mariani, Fernando Porro, Maria Cristina Buonanno, Elena Maggi, Raffaela Anastasio, Alessandra Malato, Francesco Falaschi, Sergio Siragusa, Lucio Lo Coco |
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Přispěvatelé: | SIRAGUSA S, MALATO A, FALASCHI F, PORRO F, ANASTASIO R, GIARRATANO A, LO COCO L, BUONANNO MC, MAGGI E, BRESSAN MA, MARIANI G |
Rok vydání: | 2007 |
Předmět: |
Adult
Male Risk medicine.medical_specialty Time Factors medicine.drug_class Low molecular weight heparin Thrombophilia Ventilation/perfusion ratio Fibrin Fibrinogen Degradation Products Predictive Value of Tests Thromboembolism D-dimer Prevalence Ventilation-Perfusion Ratio medicine Humans Aged Aged 80 and over Venous Thrombosis business.industry Respiratory disease Anticoagulants Hematology Middle Aged medicine.disease Pulmonary embolism Surgery Hospitalization Venous thrombosis Early Diagnosis Treatment Outcome Predictive value of tests Female Pulmonary Embolism business Tomography Spiral Computed Algorithms |
Zdroj: | Haematologica. 92:410-413 |
ISSN: | 1592-8721 0390-6078 |
DOI: | 10.3324/haematol.09899 |
Popis: | We evaluated a simplified algorithm for safely postponing diagnostic imaging for pulmonary embolism (PE). At the index visit, patients were identified as being at high or low risk of PE; the former received full dosage low molecular weight heparin while the latter were left untreated until performance of diagnostic imaging (max 72 hours). During this period, no thromboembolic events occurred in low-risk patients (0/211, 0.% [upper 95% CI 0.9%]); only one event occurred in those at high-risk (1/125, 0.8% [upper 95% CI, 1.2]). Our study demonstrates that diagnostic imaging for PE can be safely deferred for up to 3 days. |
Databáze: | OpenAIRE |
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