Approach to Suspected Acute Pulmonary Embolism: Should We Use Scoring Systems?

被引：3

作者：

Righini, Marc ^{[1
,2
]}

Le Gal, Gregoire ^{[3
]}

Bounameaux, Henri ^{[1
,2
]}

机构：

[1] Univ Hosp Geneva, Dept Med Specialties, Div Angiol & Hemostasis, 4 Rue Gabrielle Perret Gentil, CH-1211 Geneva 14, Switzerland

[2] Fac Med, 4 Rue Gabrielle Perret Gentil, CH-1211 Geneva 14, Switzerland

[3] Univ Ottawa, Dept Med, Div Hematol, Thrombosis Program, Ottawa, ON, Canada

来源：

SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE | 2017年 / 38卷 / 01期

关键词：

clinical probability; clinical prediction rules; pulmonary embolism; diagnostic tests; CLINICAL DECISION RULES; REVISED GENEVA SCORE; EMERGENCY-DEPARTMENT PATIENTS; D-DIMER; VENOUS THROMBOEMBOLISM; PREDICTION RULES; DIAGNOSTIC MANAGEMENT; COMPUTED-TOMOGRAPHY; CONTROLLED-TRIAL; PROBABILITY;

D O I：

10.1055/s-0036-1597555

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Modern diagnostic strategies for pulmonary embolism diagnosis almost all rely on an initial assessment of the pretest probability. Clinical prediction rules are decision making tools using combinations of easily available clinical predictors to define the probability of a disease. The assessment of the clinical probability of pulmonary embolism has an important impact on the diagnostic strategy and on therapeutic management. Clinical prediction rules provide accurate and reproducible estimates of clinical probability. They should be derived and validated following strict methodological standards. The use of clinical prediction rules should be encouraged, since their implementation in local guidelines for pulmonary embolism diagnosis has been shown to improve patients' outcomes.

引用

页码：3 / 10

页数：8

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