Appropriateness of CT pulmonary angiograms according to current diagnostic guidelines based on risk stratification: A retrospective single-center study
| Autor: | Michal Buk, Fabian Rengier, Theresa Mokry, Johannes Riffel, Evangelos Giannitsis, Lars Kihm, Hana Malikova, Hans-Ulrich Kauczor, Oyunbileg von Stackelberg, Tim Frederik Weber |
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| Rok vydání: | 2020 |
| Předmět: |
Aged
80 and over Male Computed Tomography Angiography diagnostic guidelines lcsh:R ct examination justification lcsh:Medicine Middle Aged clinical decision making Risk Assessment d-dimers Fibrin Fibrinogen Degradation Products Practice Guidelines as Topic Humans Female acute pulmonary embolism ct pulmonary angiography Pulmonary Embolism Aged Retrospective Studies |
| Zdroj: | Biomedical Papers, Vol 165, Iss 1, Pp 51-56 (2021) |
| ISSN: | 1804-7521 |
| Popis: | Background and Aim. Assessment of appropriateness of CT pulmonary angiograms (CTPA) in patients with suspected pulmonary embolism (PE) is based on risk stratification algorithms such as simplified the Geneva Score (sGS) in combination with D-dimer blood tests. The aim of this study was to validate the diagnostic yield and appropriateness of CTPA examinations in accordance with 2014 European Society of Cardiology (ESC) guidelines. Materials and Methods. Data from 155 outpatients who underwent CTPA for clinical suspicion of PE were gathered from the radiology information system (RIS) and the clinical information system (CIS). We assessed the presence of sGS items and D-dimer blood test results in RIS from CTPA request forms and from clinical documentation in CIS. Results. Based on the RIS, there were 2.6% patients with high (sGS≥3) and 97.4% patients with low pre-test PE probability (sGS |
| Databáze: | OpenAIRE |
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