HOME >> MEDICINE >> NEWS
Annals of Internal Medicine tip sheet for Feb. 7, 2006

Diagnosis and Management of Pulmonary Embolism Varies and Needs Improvement

This issue of Annals includes two articles and an editorial about the management of pulmonary embolism (PE).

One article reports on decisions to confirm or rule out PE in 1,529 consecutive patients who went to 117 emergency departments with suspected PE (Article, p. 157).

Researchers found that emergency departments failed to use the recommended evaluation procedures in 662 of the 1,529 patients.

Departments followed established guidelines to confirm PE much more often than they followed guidelines for ruling out PE.

In the following three months, PE, deep vein thrombosis or death was markedly lower among patients who received appropriate diagnostic management (1.2 percent) than among those who did not (7.7 percent).

The other article describes development of a new clinical prediction rule for estimating the probability of PE (Article, p. 165). The new rule is standardized, based on clinical variables and is independent of physicians' implicit judgments. It also identifies people at low risk (less than 10 percent) of developing PE or high risk (more than 60 percent), which can indicate the need for tests to confirm clinical suspicion of PE.

The new rule uses criteria such as age, previous deep venous thrombosis or PE, surgery or fracture within the prior month, or an active malignant condition. The authors say the new "revised Geneva score" for PE is "clinically relevant, is easy to compute, and has sustained internal and external validation. It should now be tested for clinical usefulness in a formal outcome study."

An editorial writer says that the first article shows that physicians and emergency departments follow accepted guidelines for ruling in PE much better than they follow guidelines for ruling out likelihood PE, resulting in bad patient outcomes (Editorial, p. 210).

The second study provides a n
'"/>

Contact: Susan Anderson
sanderson@acponline.org
215-351-2653
American College of Physicians
6-Feb-2006


Page: 1 2

Related medicine news :

1. Annals of Internal Medicine tip sheet for Aug. 7, 2007, issue
2. May/June Annals of Family Medicine tip sheet
3. Annals of Internal Medicine Tip Sheet for May 15, 2007
4. Tip sheet for Annals of Internal Medicine -- May 1, 2007, issue
5. Tip sheet Annals of Internal Medicine, April 17, 2007
6. Embargoed March/April Annals of Family Medicine tip sheet
7. Annals of Internal Medicine tip sheet for March 6, 2007
8. Annals of Internal Medicine tip sheet for Feb. 20, 2007, issue
9. Embargoed Jan./Feb. Annals of Family Medicine tip sheet
10. November/December 2006 Annals of Family Medicine tip sheet
11. Annals of Internal Medicine tip sheet for December 5, 2006

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:8/9/2018)... ... 2018 , ... RiverGlade Capital (“RiverGlade”), is pleased to announce ... an exclusive relationship with the firm. As an Operating Partner, Mr. Hudak ... and deal origination, evaluation and diligence. He brings a wealth of healthcare ...
(Date:8/7/2018)... ... August 07, 2018 , ... Today ... Nancy’s Probiotic Foods. These rich, cream-on-top-style yogurts are made with milk from grass-fed ... that's high in omega-3 fatty acids. Nancy’s sources the milk from organic family-owned ...
(Date:8/3/2018)... ... August 03, 2018 , ... Yisrayl Hawkins, Pastor and Overseer ... secret passages and meanings from the Bible meant only to be understood in this ... he has been able to decode passages that he says scholars have struggled with ...
(Date:8/2/2018)... ... August 02, 2018 , ... Mindray, a ... Ultrasound system with unique new upgrades at the Society of Vascular Ultrasound annual ... Sonography® Technology (ZST), the upgrades include a unique arterial stiffness measurement, which uses ...
(Date:8/2/2018)... , ... August 02, 2018 ... ... medical claims management solutions provider, announced today that it has acquired Minneapolis, ... (IMEs), medical record reviews, peer reviews, and related services. , Medlogix seeks ...
Breaking Medicine News(10 mins):
(Date:8/7/2018)... ... August 07, 2018 , ... Commissioner Gottlieb’s FDA:, Analysis of First Year and ... p.m. ET, http://www.fdanews.com/commissionergottliebsfda , Under Commissioner Scott Gottlieb, changes at the ... some may have gotten hurt. , And Gottlieb is just getting started. , Mark ...
(Date:8/7/2018)... , ... August 07, 2018 , ... ... Joe Morehouse, DO, to its growing team of eye care providers. Dr. Morehouse ... and traditional intraocular lenses, as well as treating patients for routine eye care, ...
(Date:8/2/2018)... ... August 02, 2018 , ... The American Heart Association/American ... on Wednesday, July 11, 2018, recognizing the hospital’s commitment to compliance with quality ... , Get With The Guidelines®-Stroke Gold Plus Quality Achievement ...
Breaking Medicine Technology:
Cached News: