Diagnosis of pulmonary embolism in the Emergency Department
| Autor: | Rošić, Damir, Kočet, Nikola, Simić, Anđela, Prkačin, Ingrid, Nesek Adam, Višnja |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
pulmonary embolism
Wells score D-dimers MSCT pulmonary angiography emergency medical service pulmonary embolism Wells score D-dimers MSCT pulmonary angiography emergency medical service Computed Tomography Angiography plućna embolija Wellsov skor D-dimeri MSCT plućna angiografija hitna medicinska služba Case-Control Studies Angiography Humans General Medicine Pulmonary Embolism Emergency Service Hospital |
| Zdroj: | Acta clinica Croatica Volume 61. Issue Supplement 1 |
| ISSN: | 0353-9466 1333-9451 |
| Popis: | The aim of this study was to determine the association of clinical presentation, the Wells scoring system and D-dimer values with MSCT pulmonary angiography. A case control study was conducted in the Emergency Department of the Clinical Hospital Sveti Duh throughout 2019. Patients with a referral diagnosis of a pulmonary embolism were included in the study. Patients were divided into two groups. The first group consisted of patients diagnosed with pulmonary embolism by MSCT pulmonary angiography or postmortem, and the second group consisted of patients excluded from pulmonary embolisms. For the Wells score, D-dimers, troponin, respiratory rate and peripheral blood oxygen saturation, statistically significant differences were found between groups of patients with confirmed or excluded pulmonary embolism (p 70% of patients with massive a pulmonary embolism. Pulmonary embolism was confirmed in all patients for whom a high risk was calculated according to the Wells score. In conclusion, a low degree of clinical probability (according to the Wells score), along with a normal concentration of D-dimer, are a sure strategy in excluding pulmonary embolism. Cilj rada je bio utvrditi povezanost kliničke slike, Wellsovog bodovnog sustava i vrijednosti D-dimera s MSCT plućnom angiografijom. Provedena je studija istraživanja parova u Objedinjenom hitnom bolničkom prijamu Kliničke bolnice „Sveti Duh“ tijekom cijele 2019. godine. U istraživanje su bili uključeni bolesnici sa uputnom dijagnozom plućne embolije. Bolesnici su podijeljeni u dvije skupine. U prvoj su skupini bili bolesnici kojima je dijagnoza plućne embolije potvrđena MSCT plućnom angiografijom ili post mortem, a drugu skupinu su činili bolesnici kod kojih je isključena plućna embolija. Za Wellsov skor, D-dimere, troponin, frekvenciju disanja i perifernu zasićenost krvi kisikom nađene su statistički značajne razlike između skupina bolesnika s potvrđenom, odnosno isključenom plućnom embolijom (p70% bolesnika s masivnom plućnom embolijom ultrazvučno je nađena duboka venska tromboza donjih ekstremiteta. Kod svih bolesnika kojima je prema Wellsovom bodovnom skoru izračunat visok rizik potvrđena je plućna embolija. Zaključno, niski stupanj kliničke vjerojatnosti (prema Wellsovom bodovnom skoru) zajedno s normalnom koncentracijom D-dimera sigurna su strategija u isključenju plućne embolije. |
| Databáze: | OpenAIRE |
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