Deferral of assessment of pulmonary embolism

Sergio Siragusa; Alessandra Malato; Francesco Falaschi; Fernando Porro; Raffaela Anastasio; Antonino Giarratano; Lucio Lo Coco; Maria Cristina Buonanno; Elena Maggi; Maria Antonietta Bressan; Guglielmo Mariani

doi:10.3324/haematol.09899

Deferral of assessment of pulmonary embolism

Sergio Siragusa, Alessandra Malato, Francesco Falaschi, Fernando Porro, Raffaela Anastasio, Antonino Giarratano, Lucio Lo Coco, Maria Cristina Buonanno, Elena Maggi, Maria Antonietta Bressan, Guglielmo Mariani

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Pages (from-to)	410-413
Number of pages	4
Journal	Haematologica
Volume	92
Issue number	3
DOIs	https://doi.org/10.3324/haematol.09899
Publication status	Published - Mar 2007

Keywords

D-dimer
Deferred tests
Low-molecular weight heparin
Pretest clinical probability
Pulmonary embolism

ASJC Scopus subject areas

Hematology

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10.3324/haematol.09899

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Deferral of assessment of pulmonary embolism. / Siragusa, Sergio; Malato, Alessandra; Falaschi, Francesco; Porro, Fernando; Anastasio, Raffaela; Giarratano, Antonino; Lo Coco, Lucio; Buonanno, Maria Cristina; Maggi, Elena; Bressan, Maria Antonietta; Mariani, Guglielmo.

In: Haematologica, Vol. 92, No. 3, 03.2007, p. 410-413.

Research output: Contribution to journal › Article › peer-review

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abstract = "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.",

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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

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Deferral of assessment of pulmonary embolism

Abstract

Keywords

ASJC Scopus subject areas

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