Clinical Model for Management of Pulmonary Embolism
Authors: Paul Egermayer
Journal: Annals of Internal Medicine (1999)

Letters21 September 1999Clinical Model for Management of Pulmonary EmbolismPaul Egermayer, MB, ChBPaul Egermayer, MB, ChBCanterbury Respiratory Research Group; Christchurch, New Zealand (Egermayer)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-131-6-199909210-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITORWells and colleagues (1) considered pulmonary embolism (PE) to be proven in patients with clinical suspicion, an abnormal lung scan, and proof of deep venous thrombosis (DVT). I tested this hypothesis by using unpublished data from a recent trial of 487 consecutive patients referred for lung scanning because of suspected acute PE (2). In 8 of these (group 1), a diagnosis of both PE and associated DVT was established according to predetermined criteria of objectivity. In 27 patients (group 2), the DVT diagnosis was objective, but PE was diagnosed on clinical impressions without conclusive imaging support, as ...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. Egermayer P, Town GI, Turner J, Heaton DC, Mee AL, Beard ME. The use of d-dimer, blood gas and respiratory rate measurements for excluding pulmonary embolism. Thorax. 1998;53:830-4. CrossrefMedlineGoogle Scholar3. Monreal M, Lafoz E, Ruiz J, Ma Callejas J, Arias A. Recurrent pulmonary embolism in patients treated because of acute venous thromboembolism: a prospective study. Eur J Vasc Surg. 1994;8:584-9. CrossrefMedlineGoogle Scholar4. Beard ME, ed. Management guidelines for common medical conditions. Canterbury Health Pr; 1998:196-201. Google Scholar5. Egermayer P. The lung scan appearances of tumor embolisation [Letter]. Chest. 1998;113:562-3. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Paul Egermayer, MB, ChBAffiliations: Canterbury Respiratory Research Group; Christchurch, New Zealand (Egermayer) 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 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 Clinical Model for Management of Pulmonary Embolism Stephen J. Jay Metrics Cited byHemochromatosis: one form of iron-overload diseases 21 September 1999Volume 131, Issue 6Page: 475KeywordsDeep vein thrombosisHospitalizationsLungsPulmonary embolismRespiratory rateSafetySigns and symptomsSpecificityVenous thromboembolismVentilation perfusion ePublished: 15 August 2000 Issue Published: 21 September 1999 Copyright & PermissionsCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...