Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/6694
Title: Diagnostic work-up of patients with suspected pulmonary embolism: A survey of strategies used by emergency physicians
Authors: Erdur, Bülent
Karabulut, Nevzat
Türkçüer, İbrahim
Ergin, Ahmet
Keywords: Computed tomographic angiography
Diagnosis
Diagnostic imaging
Pulmonary embolism
Venous thromboembolism
D dimer
clinical practice
computed tomographic angiography
deep vein thrombosis
diagnostic accuracy
diagnostic imaging
diagnostic value
echocardiography
emergency care
emergency physician
health care policy
high risk patient
human
lung embolism
medical specialist
pregnancy
questionnaire
review
spiral computer assisted tomography
thorax radiography
Attitude of Health Personnel
Diagnostic Imaging
Echocardiography
Emergency Medical Services
Fibrin Fibrinogen Degradation Products
Humans
Medical Staff, Hospital
Pulmonary Embolism
Questionnaires
Radiography, Thoracic
Tomography, X-Ray Computed
Turkey
Ultrasonography, Doppler
Abstract: PURPOSE: In this study, we aimed to document imaging practices and diagnostic strategies used by emergency physicians in patients with suspected high-probability pulmonary embolism (PE). MATERIALS AND METHODS: A questionnaire investigating the diagnostic strategies used by the emergency physicians in the evaluation of venous thromboembolism was mailed electronically to all emergency department residents and specialists practicing in 62 medical institutions in Turkey. The questionnaire gathered information about the availability and frequency of use of diagnostic imaging modalities in different scenarios in patients with suspected high-probability PE. RESULTS: Echocardiography, helical computed tomography (CT), and D-dimer test were the most available tools around the clock with a frequency of use of 78%, 73%, and 67%, respectively. One hundred and nineteen of 176 respondents (68%) reported that they request D-dimer "invariably" before performing an imaging examination in patients with suspected highprobability PE (SHPPE). Before ordering advanced imaging, 136 EPs (77%) would always obtain chest radiographs. Fifty-four residents (55%) and 39 specialists (51%) indicated that CTPA would likely be the first examination for patients with SHPPE and with signs of deep venous thrombosis (DVT) (P = 0.8). The most frequently selected examination for patients with SHPPE and without signs of DVT was CTPA, reported by 69 of the residents (70%) and 53 of the specialists (69%) (P = 0.9). CONCLUSION: This survey did not show significant variations either in the practices and policies used by emergency physicians, or in the methodological approaches between specialists and residents. Among the imaging modalities, CTPA was the tool most preferred by physicians for patients with suspected acute PE. © Turkish Society of Radiology 2009.
URI: https://hdl.handle.net/11499/6694
ISSN: 1305-3825
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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