| 来源类型 | Article |
| 规范类型 | 其他 |
| DOI | 10.1016/S0049-3848(99)00180-2 |
| Multivariate analysis-based prediction rule for pulmonary embolism. | |
| Stoellberger C; Finsterer J; Lutz W; Stoeberl C; Kroiss A; Valentin A; Slany J | |
| 发表日期 | 2000 |
| 出处 | Thrombosis Research 97 (5): 267-273 |
| 出版年 | 2000 |
| 语种 | 英语 |
| 摘要 | The diagnosis of pulmonary embolism (PE) is still an unresolved problem. The aim of this prospective observational study was to derive and validate a prediction rule (PEscore) by which PE can be diagnosed by easily obtainable and rapidly available investigations. Included were consecutive patients with a clinical suspicion of PE admitted to a community hospital. Risk factors and clinical and instrumental investigations were registered. PE was diagnosed by angiography, scintigraphy, or autopsy. In 168 patients, PE was either diagnosed (angiography, n=28; autopsy, n=18) or excluded (angiography, n=12; scintigraphy, n=99; autopsy, n=11). Based on the results of clinical and instrumental findings, a PEscore was derived by a multiple regression analysis, calculated as: [0.29 x proven leg vein thrombosis (0=no, 1=yes)] + [0.25 x ECG right heart strain (0=no, 1=yes)] + [0.22 x neck vein distension (0=no, 1=yes)] + [0.20 x dyspnoea (0=no, 1=yes)] + [0.13 x suspicious chest X-ray (0=no, 1=yes)] - [0.17 (constant)]. The PEscore was tested further in 139 subsequent cases. In these patients, the PEscore was 0.65 +- 0.17 (diagnosed PE, n=47) and 0.1810.17 (excluded PE, n=92), respectively (p=0.0001). Depending on a given PEscore, the level of probability of PE can be assessed. Calculation of the PEscore can be helpful in clinical decisions when PE is suspected. |
| 主题 | World Population (POP) |
| 关键词 | Pulmonary embolism Leg vein thrombosis Prediction rule |
| URL | http://pure.iiasa.ac.at/id/eprint/6012/ |
| 来源智库 | International Institute for Applied Systems Analysis (Austria) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/127934 |
| 推荐引用方式 GB/T 7714 | Stoellberger C,Finsterer J,Lutz W,et al. Multivariate analysis-based prediction rule for pulmonary embolism.. 2000. |
| 条目包含的文件 | 条目无相关文件。 | |||||
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