Consider The Evidence: Med/Peds Journal Roundup

February 1, 2006

PE scoring Ad Nauseam

Filed under: annals of internal medicine, pulmonary, VTE — medblog @ 2:29 am

AnnalsIM 2/7 – This weeks Annals has 2 more articles on PE, didnt they read last weeks Archives? I’ll make this a 2 for 1…
Roy et al. find that ER diagnostic managment of suspected PE was incorrect in 43% of cases. Incorrect management occurred in 57% of those who ruled out and 8% percent of those that had PE.

Le Gal et al. propose a revised Geneva score to stratify pre-test risk for suspected PE. This is different than the old Geneva score in that it does not require an ABG. And unlike the Wells score – there is no need to assess the probablility of alternative diagnoses.

Appropriateness of Diagnostic Management and Outcomes of Suspected Pulmonary Embolism
P.-M. Roy, G. Meyer, B. Vielle, C. Le Gall, F. Verschuren, F. Carpentier, P. Leveau, A. Furber and for the EMDEPU Study Group*

Abstract

Ann Intern Med 2006; 157-164.

Prediction of Pulmonary Embolism in the Emergency Department: The Revised Geneva Score
G. Le Gal, M. Righini, P.-M. Roy, O. Sanchez, D. Aujesky, H. Bounameaux and A. Perrier

Absract

Ann Intern Med 2006; 165-171.

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