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:10/8/2019)... , ... October 08, 2019 , ... ... biomimetic dentistry techniques, has recently attended an advanced Level III training in Cagliari, ... of dentistry. The training took place September 16-19, 2019 at the Sardinia Dental ...
(Date:10/8/2019)... ... October 08, 2019 , ... Fewer than 50 percent ... are reproducible. Rigor in bioanalytical method validation is emerging in the form of ... half of the time) and senior scientists add the management of an offshore ...
(Date:10/8/2019)... ... 08, 2019 , ... U.S. Oral Surgery Management (USOSM) – ... oral and maxillofacial surgeons – has formed a new partnership with Oral and ... near Knoxville, Tennessee. The partnership is USOSM’s first in the state of Tennessee. ...
(Date:10/8/2019)... ... ... Fertility (SGF) , a pioneer in offering an IVF treatment refund guarantee, known as ... take home a baby, and more than 85% of participants who use a donor egg ... ago by SGF Co-founder, Michael J. Levy, M.D ., specifically to help patients without ...
(Date:10/8/2019)... (PRWEB) , ... October 08, 2019 , ... ... released the findings of a new study showing that Care4U™ 2’-FL, a DuPont ... to galacto-oligosaccharides (GOS) and lactose. The effects elicited to microbiota and metabolite composition ...
Breaking Medicine News(10 mins):
(Date:10/11/2019)... ... October 11, 2019 , ... Based on data for the first eight ... in deceased organ donors over 2018. Through August 31, 7,786 deceased donors have provided ... national database . At this pace, the Association of Organ Procurement Organizations (AOPO) projects ...
(Date:10/10/2019)... ... 10, 2019 , ... Ovation Fertility is once again proving ... medicine, with six abstracts accepted for poster presentations at the ASRM 2019 Scientific ... 2019, in Philadelphia. , “Ovation will have a prominent presence in the scientific ...
(Date:10/10/2019)... ... October 10, 2019 , ... Smile Brands Inc. together with its ... California and opening of a new A+ location in Natomas. , A+ Dental Care ... Sacramento area. The group’s 14 general dentists and three specialists work together as a ...
Breaking Medicine Technology:
Cached News: