We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Does this patient have pulmonary embolism?
- Authors
Chunilal, Sanjeev D; Eikelboom, John W; Attia, John; Miniati, Massimo; Panju, Akbar A; Simel, David L; Ginsberg, Jeffrey S
- Abstract
Experienced clinicians' gestalt is useful in estimating the pretest probability for pulmonary embolism and is complementary to diagnostic testing, such as lung scanning. However, it is unclear whether recently developed clinical prediction rules, using explicit features of clinical examination, are comparable with clinicians' gestalt. If so, clinical prediction rules would be powerful tools because they could be used by less-experienced health care professionals to simplify the diagnosis of pulmonary embolism. Recent studies have shown that the combination of a low pretest probability (using a clinical prediction rule) and a normal result of a D-dimer test reliably excludes pulmonary embolism without the need for further testing.
- Publication
JAMA, 2003, Vol 290, Issue 21, p2849
- ISSN
1538-3598
- Publication type
Journal Article
- DOI
10.1001/jama.290.21.2849