Clinical Model for Management of Pulmonary Embolism
Authors: Stephen J. Jay
Journal: Annals of Internal Medicine (1999)

Letters21 September 1999Clinical Model for Management of Pulmonary EmbolismStephen J. Jay, MDStephen J. Jay, MDIndiana University School of Medicine; Indianapolis, IN 46202 (Jay)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-131-6-199909210-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITORWells and colleagues (1) described the use of a clinical model for safe management of patients with suspected pulmonary embolism (PE). By using the pretest probability of PE in conjunction with ventilation-perfusion scanning and bilateral leg vein ultrasonography in the diagnostic strategy, PE was reliably diagnosed in more than 96% of patients. Only 46 of 1239 patients (3.7%) required angiography or venography for diagnosis when there was discordance between the estimate of pretest probability of PE and the results of lung scanning and leg ultrasonography.The algorithm used in this model to determine the pretest probability of ...References1. Wells PS, Ginsberg JS, Anderson DR, Kearon C, Gent M, Turpie AG, et al . Use of a clinical model for safe management of patients with suspected pulmonary embolism. Ann Intern Med. 1998;129:997-1005. LinkGoogle Scholar2. Lilienberg G, Venge P. Platelet adhesion in patients prone to arterial and venous thrombosis: the impact of gender, smoking and heredity. Scand J Clin Lab Invest. 1998;58:279-86. CrossrefMedlineGoogle Scholar3. Petitti DB, Wingerd J, Pellegrin F, Ramcharan S. Oral contraceptives, smoking, and other factors in relation to risk of venous thromboembolic disease. Am J Epidemiol. 1978;108:480-5. CrossrefMedlineGoogle Scholar4. Samkoff JS, Comstock GW. Epidemiology of pulmonary embolism: mortality in a general population. Am J Epidemiol. 1981;114:488-96. CrossrefMedlineGoogle Scholar5. Goldhaber SZ, Grodstein F, Stampfer MJ, Manson JE, Colditz GA, Speizer FE, et al . A prospective study of risk factors for pulmonary embolism in women. JAMA. 1997;277:642-5. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Indiana University School of Medicine; Indianapolis, IN 46202 (Jay) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoUse of a Clinical Model for Safe Management of Patients with Suspected Pulmonary Embolism Philip S. Wells , Jeffrey S. Ginsberg , David R. Anderson , Clive Kearon , Michael Gent , Alexander G. Turpie , Janis Bormanis , Jeffrey Weitz , Michael Chamberlain , Dennis Bowie , David Barnes , and Jack Hirsh Clinical Model for Management of Pulmonary Embolism Paul Egermayer Clinical Model for Management of Pulmonary Embolism Philip Wells , David Anderson , and Jeffrey Ginsberg Clinical Model for Management of Pulmonary Embolism Jeffrey Pickard Clinical Model for Management of Pulmonary Embolism John F. Whitney Metrics 21 September 1999Volume 131, Issue 6Page: 474-475KeywordsAlgorithmsDeep vein thrombosisMedical risk factorsObesityOral contraceptive therapyPulmonary embolismUltrasound imagingVeinsVenous thromboembolismVentilation perfusion Issue Published: 21 September 1999 CopyrightCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...