Scoring Systems for Diagnosis of Acute Venous Thromboembolism

被引：5

作者：

Le Gal, Gregoire ^{[1
]}

Righini, Marc ^{[2
]}

Wells, Philip S. ^{[1
]}

机构：

[1] Univ Ottawa, Res Inst, Ottawa Hosp, Dept Med, Ottawa, ON, Canada

[2] Geneva Univ Hosp, Fac Med, Div Angiol & Hemostasis, Geneva, Switzerland

来源：

SEMINARS IN THROMBOSIS AND HEMOSTASIS | 2017年 / 43卷 / 05期

关键词：

clinical probability; clinical prediction rules; pulmonary embolism; deep vein thrombosis; diagnostic algorithm; SUSPECTED PULMONARY-EMBOLISM; ASSESSING CLINICAL PROBABILITY; EMERGENCY-DEPARTMENT PATIENTS; REVISED GENEVA SCORE; DECISION RULES; PRETEST PROBABILITY; PREDICTION RULES; D-DIMER; MANAGEMENT; CRITERIA;

D O I：

10.1055/s-0037-1601332

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Modern diagnostic strategies for venous thromboembolism almost all rely on an initial assessment of the pretest probability. Assessing the patient's pretest probability for venous thromboembolism is a critical step in the diagnostic strategy and for therapeutic management. Clinical prediction rules combine medical signs and symptoms to provide accurate and reproducible estimates of the probability of a disease before diagnostic tests are performed. The use of scoring systems in patients with suspected acute venous thromboembolism should be encouraged, as their implementation in guidelines for venous thromboembolism diagnosis results in cost-effective care with improved patient outcomes.

引用

页码：479 / 485

页数：7

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