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 |
Show full item record
CORE Recommender
SCOPUSTM
Citations
7
checked on Oct 13, 2024
WEB OF SCIENCETM
Citations
8
checked on Oct 22, 2024
Page view(s)
48
checked on Aug 24, 2024
Google ScholarTM
Check
Items in GCRIS Repository are protected by copyright, with all rights reserved, unless otherwise indicated.