TY - JOUR
T1 - Deferral of assessment of pulmonary embolism
AU - Siragusa, Sergio
AU - Malato, Alessandra
AU - Falaschi, Francesco
AU - Porro, Fernando
AU - Anastasio, Raffaela
AU - Giarratano, Antonino
AU - Lo Coco, Lucio
AU - Buonanno, Maria Cristina
AU - Maggi, Elena
AU - Bressan, Maria Antonietta
AU - Mariani, Guglielmo
PY - 2007/3
Y1 - 2007/3
N2 - We evaluated a simplified algorithm for safely postponing diagnostic imaging for pulmonary embolism (PE). At the index visit, patients were identified as being at high or low risk of PE; the former received full dosage low molecular weight heparin while the latter were left untreated until performance of diagnostic imaging (max 72 hours). During this period, no thromboembolic events occurred in low-risk patients (0/211, 0.% [upper 95% CI 0.9%]); only one event occurred in those at high-risk (1/125, 0.8% [upper 95% CI, 1.2]). Our study demonstrates that diagnostic imaging for PE can be safely deferred for up to 3 days.
AB - We evaluated a simplified algorithm for safely postponing diagnostic imaging for pulmonary embolism (PE). At the index visit, patients were identified as being at high or low risk of PE; the former received full dosage low molecular weight heparin while the latter were left untreated until performance of diagnostic imaging (max 72 hours). During this period, no thromboembolic events occurred in low-risk patients (0/211, 0.% [upper 95% CI 0.9%]); only one event occurred in those at high-risk (1/125, 0.8% [upper 95% CI, 1.2]). Our study demonstrates that diagnostic imaging for PE can be safely deferred for up to 3 days.
KW - D-dimer
KW - Deferred tests
KW - Low-molecular weight heparin
KW - Pretest clinical probability
KW - Pulmonary embolism
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U2 - 10.3324/haematol.09899
DO - 10.3324/haematol.09899
M3 - Article
C2 - 17339193
AN - SCOPUS:34247567974
VL - 92
SP - 410
EP - 413
JO - Haematologica
JF - Haematologica
SN - 0390-6078
IS - 3
ER -