Tag: pulmonary embolism

1. The 4PEPs strategy (4-Level Pulmonary Embolism Clinical Probability Score) may be a useful tool for emergency department physicians in patients suspected of pulmonary embolism. 2. Applying 4PEPs reduced the need for imaging testing and showed false-negative testing rates below 1%. Evidence Rating Level: 2 (Good) Study Rundown: This study investigated...

Patients with pulmonary embolism (PE) can present with a myriad of symptoms, and without prompt recognition and treatment, are at risk of developing life-threatening complications. The authors of this multinational population-based cohort study (n=39,257) aimed to evaluate whether an association exists between experience in the management of acute PE,...

Hospital volume and outcomes for acute pulmonary embolism: multinational population-based cohort study Patients with pulmonary embolism (PE) can present with a myriad of symptoms, and without prompt recognition and treatment, are at risk of developing life-threatening complications. The authors of this multinational population-based cohort study (n=39,257) aimed to evaluate whether...

Venous thromboembolism (VTE) is a common complication in patients with cancer. Often, VTEs are incidentally detected on imaging studies undertaken for cancer staging or evaluation of treatment response. Current guidelines recommend that the same anticoagulant treatment be used for both incidental pulmonary embolism (PE) and symptomatic PE in patients...

Treatment and Long-Term Clinical Outcomes of Incidental Pulmonary Embolism in Patients With Cancer: An International Prospective Cohort Study Venous thromboembolism (VTE) is a common complication in patients with cancer. Often, VTEs are incidentally detected on imaging studies undertaken for cancer staging or evaluation of treatment response. Current guidelines recommend that...

1. In this prospective cohort study, patients with symptomatic pulmonary embolism (PE) and a patent foramen ovale (PFO) were found to have a significantly increased risk of ischemic stroke compared to those without PFO. 2. The study results support the hypothesis that paradoxical embolism through a PFO is a significant...

1. A diagnostic model based on D-dimer measurement, lower limb compression ultrasonography (CUS) and computed tomography pulmonary angiography (CTPA) accurately ruled out pulmonary embolism (PE) in pregnancy. 2. No thromboembolic events occurred at the 3-month follow up for women with PE ruled out by the algorithm. Evidence Rating Level: 2...

1. In this multicenter, randomized controlled study, the Pulmonary Embolism Rule-out Criteria (PERC) was not associated with an inferior rate of diagnosing thromboembolic events in low risk patients compared to care as usual. 2. The PERC strategy resulted in significantly fewer uses of CT pulmonary angiography, reduced ED length of...

1. Based on this retrospective cohort study from multiple countries, the prevalence of pulmonary embolism among patients presenting to the emergency department (ED) with syncope was low at <1%. 2. Given the low probability of pulmonary embolism in patients with syncope, adopting a routine protocol for excluding PE in these...