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Inappropriate use of D-dimer assay and pulmonary CT angiography in the evaluation of suspected acute pulmonary embolism.
Am J Med Qual. 2012 Jan-Feb; 27(1):74-9.AJ

Abstract

The authors question whether the d-dimer assay and pulmonary computed tomography angiography (CTA) are being used appropriately to evaluate suspected acute pulmonary embolism (PE) at their hospital. To answer this question, a retrospective review was performed on all emergency department (ED) patients who underwent d-dimer assay and/or CTA from August 15, 2008, to August 14, 2009. The authors' algorithm for diagnosing PE requires that patients with low or intermediate probability of acute PE undergo a d-dimer assay, followed by CTA if the d-dimer is positive. Patients with high probability of PE should have CTA performed without a d-dimer assay. This result suggests that d-dimer assay and CTA are used inappropriately to evaluate patients with suspected acute PE in our ED. The low threshold for initiating an evaluation for PE decreases the prevalence of PE in this population.

Authors+Show Affiliations

Good Samaritan Hospital of Maryland, Baltimore, USA. fang.yin@nih.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21666066

Citation

Yin, Fang, et al. "Inappropriate Use of D-dimer Assay and Pulmonary CT Angiography in the Evaluation of Suspected Acute Pulmonary Embolism." American Journal of Medical Quality : the Official Journal of the American College of Medical Quality, vol. 27, no. 1, 2012, pp. 74-9.
Yin F, Wilson T, Della Fave A, et al. Inappropriate use of D-dimer assay and pulmonary CT angiography in the evaluation of suspected acute pulmonary embolism. Am J Med Qual. 2012;27(1):74-9.
Yin, F., Wilson, T., Della Fave, A., Larsen, M., Yoon, J., Nugusie, B., Freeland, H., & Chow, R. D. (2012). Inappropriate use of D-dimer assay and pulmonary CT angiography in the evaluation of suspected acute pulmonary embolism. American Journal of Medical Quality : the Official Journal of the American College of Medical Quality, 27(1), 74-9. https://doi.org/10.1177/1062860611407907
Yin F, et al. Inappropriate Use of D-dimer Assay and Pulmonary CT Angiography in the Evaluation of Suspected Acute Pulmonary Embolism. Am J Med Qual. 2012 Jan-Feb;27(1):74-9. PubMed PMID: 21666066.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inappropriate use of D-dimer assay and pulmonary CT angiography in the evaluation of suspected acute pulmonary embolism. AU - Yin,Fang, AU - Wilson,Thomas, AU - Della Fave,Albert, AU - Larsen,Moira, AU - Yoon,Jenni, AU - Nugusie,Binyam, AU - Freeland,Howard, AU - Chow,Robert Dobbin, Y1 - 2011/06/10/ PY - 2011/6/14/entrez PY - 2011/6/15/pubmed PY - 2012/5/4/medline SP - 74 EP - 9 JF - American journal of medical quality : the official journal of the American College of Medical Quality JO - Am J Med Qual VL - 27 IS - 1 N2 - The authors question whether the d-dimer assay and pulmonary computed tomography angiography (CTA) are being used appropriately to evaluate suspected acute pulmonary embolism (PE) at their hospital. To answer this question, a retrospective review was performed on all emergency department (ED) patients who underwent d-dimer assay and/or CTA from August 15, 2008, to August 14, 2009. The authors' algorithm for diagnosing PE requires that patients with low or intermediate probability of acute PE undergo a d-dimer assay, followed by CTA if the d-dimer is positive. Patients with high probability of PE should have CTA performed without a d-dimer assay. This result suggests that d-dimer assay and CTA are used inappropriately to evaluate patients with suspected acute PE in our ED. The low threshold for initiating an evaluation for PE decreases the prevalence of PE in this population. SN - 1555-824X UR - https://www.unboundmedicine.com/medline/citation/21666066/Inappropriate_use_of_D_dimer_assay_and_pulmonary_CT_angiography_in_the_evaluation_of_suspected_acute_pulmonary_embolism_ L2 - https://journals.sagepub.com/doi/10.1177/1062860611407907?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -