Excluding Pulmonary Embolism at the Bedside without Diagnostic Imaging: Management of Patients with Suspected Pulmonary Embolism Presenting to the Emergency Department by Using a Simple Clinical…

By P. Wells, D. Anderson, M. Rodger, I. Stiell, J. Dreyer, D. Barnes, M. Forgie, G. Kovacs, J. Ward, M. Kovacs. Annals of Internal Medicine, 2001

1,486 citations recorded by the source corpus.

Subfields: Critical Care and Intensive Care Medicine, Emergency Medicine, Internal Medicine

View Paper: https://www.semanticscholar.org/paper/ce3e9d08a50f632cca1491b4c8f61aaa4c84b058

How researchers see this paper

The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.

In Emergency Medicine

1. Jeroen J. Bax

In Internal Medicine

1. G. Agnelli
2. S. Konstantinides
3. H. Büller

Citations in the corpus

• [2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism]. (2014, positive): “In the emergency department, a negative ELISA D-dimer, in combination with clinical probability, can exclude the disease without further testing in approximately 30% of patients with suspected PE.(100,112,113) Outcome studies have shown that the three-month thromboembolic risk was ,1% in patients le”
• ESC Guidelines on the diagnosis and management of acute pulmonary embolism (2014, background): “In outcome studies, those assays proved safe in ruling out PE in PE-unlikely patients as well as in patients with a low clinical probability.(99,100,105) Their safety in ruling out PE has not been established in the intermediate clinical probability category.”
• Guidelines on the Diagnosis and Management of Acute Pulmonary Embolism (2008, background): “In the emergency department, a negative ELISA D-dimer test can exclude PE without further testing in approximately 30% of patients.(63,68,77,78) Outcome studies using”
• D-dimer antigen: current concepts and future prospects. (2009, result): “Other studies have subsequently confirmed this finding.(33,61) In patients with a high clinical probability of PE, a prospective study”
• Prediction of Pulmonary Embolism in the Emergency Department: The Revised Geneva Score (2006, methodology): “Clinical assessment has been shown to be useful for reducing the requirement for invasive tests in outcome studies (1, 2, 7, 8) and to be cost-effective (10).”
• 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS) (2019, methodology): “It is recommended that the diagnostic strategy be based on clinical probability, assessed either by clinical judgement or by a validated prediction rule.(89,91,92,103,134,170) 172 I A”