metricas
covid
Buscar en
Medicina Clínica (English Edition)
Toda la web
Inicio Medicina Clínica (English Edition) Use of predictive scales for pulmonary thromboembolism in an emergency departmen...
Journal Information
Vol. 159. Issue 10.
Pages 483-485 (November 2022)
Share
Share
Download PDF
More article options
Visits
4
Vol. 159. Issue 10.
Pages 483-485 (November 2022)
Brief report
Use of predictive scales for pulmonary thromboembolism in an emergency department
Uso de escalas predictivas de tromboembolia pulmonar en un Servicio de Urgencias.
Visits
4
Patricia Castro-Sandoval, Raquel Barrós-González, Maria Aránzazu Galindo-Martín, Martín Sebastián Ruiz-Grinspan, Cristóbal Manuel Rodríguez-Leal
Corresponding author
cristobalmrl@gmail.com

Corresponding author.
Servicio de Urgencias, Hospital Universitario del Henares, Coslada, Madrid, Spain
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Abstract
Background and objective

Diagnosing pulmonary thromboembolism (PTE) is difficult. Clinical probability scales (CPS) can help. The aim is to find out which one is the best.

Patients and methods

A retrospective cross-sectional single-center study was conducted. It evaluated four CPS (PERC - Pulmonary Embolism Rule Out Criteria-, Wells, Geneva, and YEARS criteria) validity in 200 patients who underwent computerized tomography angiography of the pulmonary arteries. Their degree of use was estimated, as well as the possible correlation between them and DD (D dimer).

Results

The four CPS have a high sensitivity, close to 1 and without differences between them. The YEARS scale is between 2 and 4 times more specific than the others. The degree of use of the scales was estimated at 14% (95% CI 9.19 - 18.81). A weak positive correlation was found between the scores on the Wells and Geneva scales and the DD.

Conclusions

The YEARS scale is shown to be better than the others due to its potential greater number of imaging tests avoided and the degree of application of the CPS could be improved.

Keywords:
Fibrin fragment D
Sensitivity and specificity
Pulmonary embolism
Hospital emergency service
Correlation of data
Guideline adherence
Resumen
Antecedentes y objetivo

Diagnosticar la tromboembolia pulmonar (TEP) es difícil. Existen escalas de probabilidad clínica (EPC) que ayudan. Se quiere averiguar cuál es mejor.

Pacientes y métodos

Se realizó un estudio unicéntrico transversal retrospectivo que evaluó la validez de cuatro EPC en 200 pacientes en los que se realizó una tomografía computarizada de arterias pulmonares: criterios PERC (Pulmonary Embolism Rule out Criteria), Wells, Ginebra y YEARS. Se estimó su grado de uso, y la posible correlación entre su puntuación y el DD (dímero D).

Resultados

Las cuatro EPC tienen una alta sensibilidad, cercana a 1 y sin diferencias entre ellas. La escala YEARS resultó ser entre 2 y 4 veces más específica que las otras tres. El grado de uso de las escalas se estimó en un 14% (IC95% 9,19 - 18,81). Se halló una débil correlación positiva entre la puntuación de las escalas Wells y Ginebra y el DD.

Discusión

La escala YEARS se muestra mejor que las demás por su potencial mayor número de pruebas de imagen evitadas y el grado de aplicación de las EPC es mejorable.

Palabras clave:
Fragmento D de fibrina
Sensibilidad y especificidad
Embolismo pulmonar
Servicio de urgencia hospitalaria
Correlación de datos
Seguimiento de guías de práctica clínica

Article

These are the options to access the full texts of the publication Medicina Clínica (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Medicina Clínica (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

Quizás le interese:
10.1016/j.medcle.2023.08.007
No mostrar más