Matches in SemOpenAlex for { <https://semopenalex.org/work/W4309646989> ?p ?o ?g. }
- W4309646989 abstract "Abstract Background Pulmonary embolism (PE) is a common and potentially life-threatening condition. Since it is considered a ‘do not miss’ diagnosis, PE tends to be over-investigated beyond the evidence-based clinical decision support systems (CDSS), which in turn subjects patients to unnecessary radiation and contrast agent exposure with no apparent benefits in terms of outcome. The purpose of this study was to evaluate the yield of ‘clinical hunch’ (gestalt) and four CDSS: the PERC Rule, Wells score, revised Geneva score, and Years criteria. Methods A review was conducted on the Electronic Medical Records (EMR) of 1566 patients from the Emergency Department at a tertiary teaching hospital who underwent CTPA from the 1st of January 2018 to the 31st of December 2019. The scores for the four CDSS were calculated retrospectively from the EMR data. We considered that a CTPA had been ordered on a clinical hunch when there was no mention of CDSS in the EMR, and no D-dimer test. A bypass of CDSS was confirmed when any step of the diagnostic algorithms was not followed. Results Of the total 1566 patients who underwent CTPA, 265 (17%) were positive for PE. The diagnosis yield from the five decision groups (clinical hunch and four CDSS) was as follows—clinical hunch, 15%; PERC rule, 18% (6% when bypassed); Wells score, 19% (11% when bypassed); revised Geneva score, 26% (13% when bypassed); and YEARS criteria, 18% (6% when bypassed). Conclusion Clinicians should trust the evidence-based clinical decision support systems in line with the international guidelines to diagnose PE." @default.
- W4309646989 created "2022-11-29" @default.
- W4309646989 creator A5013131341 @default.
- W4309646989 creator A5018287996 @default.
- W4309646989 creator A5046995197 @default.
- W4309646989 creator A5047774923 @default.
- W4309646989 creator A5088697198 @default.
- W4309646989 date "2022-11-21" @default.
- W4309646989 modified "2023-10-10" @default.
- W4309646989 title "Comparing ‘clinical hunch’ against clinical decision support systems (PERC rule, wells score, revised Geneva score and YEARS criteria) in the diagnosis of acute pulmonary embolism" @default.
- W4309646989 cites W1515043489 @default.
- W4309646989 cites W1528812090 @default.
- W4309646989 cites W1968098708 @default.
- W4309646989 cites W1968977567 @default.
- W4309646989 cites W2006296021 @default.
- W4309646989 cites W2007477243 @default.
- W4309646989 cites W2010440804 @default.
- W4309646989 cites W2061595856 @default.
- W4309646989 cites W2072451033 @default.
- W4309646989 cites W2073715302 @default.
- W4309646989 cites W2085752133 @default.
- W4309646989 cites W2091528299 @default.
- W4309646989 cites W2096644039 @default.
- W4309646989 cites W2107178966 @default.
- W4309646989 cites W2133373486 @default.
- W4309646989 cites W2133619004 @default.
- W4309646989 cites W2148643435 @default.
- W4309646989 cites W2171697262 @default.
- W4309646989 cites W2527035297 @default.
- W4309646989 cites W2558751017 @default.
- W4309646989 cites W2617970194 @default.
- W4309646989 cites W2793974093 @default.
- W4309646989 cites W2794512061 @default.
- W4309646989 cites W2796674728 @default.
- W4309646989 cites W2807314945 @default.
- W4309646989 cites W2891087002 @default.
- W4309646989 cites W2942770464 @default.
- W4309646989 cites W2970101385 @default.
- W4309646989 cites W2971121646 @default.
- W4309646989 cites W4296148784 @default.
- W4309646989 doi "https://doi.org/10.1186/s12890-022-02242-1" @default.
- W4309646989 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36414971" @default.
- W4309646989 hasPublicationYear "2022" @default.
- W4309646989 type Work @default.
- W4309646989 citedByCount "2" @default.
- W4309646989 countsByYear W43096469892023 @default.
- W4309646989 crossrefType "journal-article" @default.
- W4309646989 hasAuthorship W4309646989A5013131341 @default.
- W4309646989 hasAuthorship W4309646989A5018287996 @default.
- W4309646989 hasAuthorship W4309646989A5046995197 @default.
- W4309646989 hasAuthorship W4309646989A5047774923 @default.
- W4309646989 hasAuthorship W4309646989A5088697198 @default.
- W4309646989 hasBestOaLocation W43096469891 @default.
- W4309646989 hasConcept C107327155 @default.
- W4309646989 hasConcept C118552586 @default.
- W4309646989 hasConcept C124101348 @default.
- W4309646989 hasConcept C126322002 @default.
- W4309646989 hasConcept C126838900 @default.
- W4309646989 hasConcept C167135981 @default.
- W4309646989 hasConcept C177713679 @default.
- W4309646989 hasConcept C194828623 @default.
- W4309646989 hasConcept C195910791 @default.
- W4309646989 hasConcept C2776265017 @default.
- W4309646989 hasConcept C2780724011 @default.
- W4309646989 hasConcept C2781381097 @default.
- W4309646989 hasConcept C41008148 @default.
- W4309646989 hasConcept C534262118 @default.
- W4309646989 hasConcept C535046627 @default.
- W4309646989 hasConcept C63527458 @default.
- W4309646989 hasConcept C71924100 @default.
- W4309646989 hasConceptScore W4309646989C107327155 @default.
- W4309646989 hasConceptScore W4309646989C118552586 @default.
- W4309646989 hasConceptScore W4309646989C124101348 @default.
- W4309646989 hasConceptScore W4309646989C126322002 @default.
- W4309646989 hasConceptScore W4309646989C126838900 @default.
- W4309646989 hasConceptScore W4309646989C167135981 @default.
- W4309646989 hasConceptScore W4309646989C177713679 @default.
- W4309646989 hasConceptScore W4309646989C194828623 @default.
- W4309646989 hasConceptScore W4309646989C195910791 @default.
- W4309646989 hasConceptScore W4309646989C2776265017 @default.
- W4309646989 hasConceptScore W4309646989C2780724011 @default.
- W4309646989 hasConceptScore W4309646989C2781381097 @default.
- W4309646989 hasConceptScore W4309646989C41008148 @default.
- W4309646989 hasConceptScore W4309646989C534262118 @default.
- W4309646989 hasConceptScore W4309646989C535046627 @default.
- W4309646989 hasConceptScore W4309646989C63527458 @default.
- W4309646989 hasConceptScore W4309646989C71924100 @default.
- W4309646989 hasFunder F4320322169 @default.
- W4309646989 hasFunder F4320322315 @default.
- W4309646989 hasFunder F4320322570 @default.
- W4309646989 hasFunder F4320324618 @default.
- W4309646989 hasIssue "1" @default.
- W4309646989 hasLocation W43096469891 @default.
- W4309646989 hasLocation W43096469892 @default.
- W4309646989 hasLocation W43096469893 @default.
- W4309646989 hasLocation W43096469894 @default.
- W4309646989 hasLocation W43096469895 @default.
- W4309646989 hasOpenAccess W4309646989 @default.
- W4309646989 hasPrimaryLocation W43096469891 @default.
- W4309646989 hasRelatedWork W183778970 @default.