Pulmonary Embolism in Patients with Unexplained Exacerbations of Chronic Obstructive Pulmonary Disease
Authors: Isabelle Tillie-Leblond, Charles-Hugo Marquette, Thierry Perez
Journal: Annals of Internal Medicine (2006)

Letters15 August 2006Pulmonary Embolism in Patients with Unexplained Exacerbations of Chronic Obstructive Pulmonary DiseaseIsabelle Tillie-Leblond, MD, PhD, Charles-Hugo Marquette, MD, PhD, and Thierry Perez, MDIsabelle Tillie-Leblond, MD, PhDFrom Hospital A Calmette, 59037 Lille Cedex, France.Search for more papers by this author, Charles-Hugo Marquette, MD, PhDFrom Hospital A Calmette, 59037 Lille Cedex, France.Search for more papers by this author, and Thierry Perez, MDFrom Hospital A Calmette, 59037 Lille Cedex, France.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-145-4-200608150-00016 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE: The aim of our study was to evaluate the prevalence of pulmonary embolism in a selected population of patients with COPD who were admitted for severe exacerbations of unknown origin. Statistical analysis to select predictive variables for pulmonary embolism identified 3 criteria: cancer, previous thromboembolic disease, and a decrease in Paco2 from baseline. It was not possible to define a specific score in patients with COPD who had a severe exacerbation of unknown origin according to a multivariate logistic regression model, as was done in the Geneva study (1). We agree that the Geneva score should not be ...References1. Wicki J, Perneger TV, Junod AF, Bounameaux H, Perrier A. Assessing clinical probability of pulmonary embolism in the emergency ward: a simple score. Arch Intern Med. 2001;161:92-7. [PMID: 11146703] CrossrefMedlineGoogle Scholar2. Tockman MS, Comstock GW. Respiratory risk factors and mortality: longitudinal studies in Washington County, Maryland. Am Rev Respir Dis. 1989;140:S56-63. [PMID: 2782761] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Isabelle Tillie-Leblond, MD, PhD; Charles-Hugo Marquette, MD, PhD; Thierry Perez, MDAffiliations: From Hospital A Calmette, 59037 Lille Cedex, France.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPulmonary Embolism in Patients with Unexplained Exacerbation of Chronic Obstructive Pulmonary Disease: Prevalence and Risk Factors Isabelle Tillie-Leblond , Charles-Hugo Marquette , Thierry Perez , Arnaud Scherpereel , Christophe Zanetti , André-Bernard Tonnel , and Martine Remy-Jardin Pulmonary Embolism in Patients with Unexplained Exacerbations of Chronic Obstructive Pulmonary Disease Grégoire Le Gal and Marc Righini Metrics Cited byA Child with Local Lipohypertrophy following Recombinant Human Growth Hormone AdministrationUpdate in Chronic Obstructive Pulmonary Disease 2006 15 August 2006Volume 145, Issue 4Page: 310KeywordsCancer risk factorsChronic obstructive pulmonary diseaseConflicts of interestLung and intrathoracic tumorsMedical risk factorsNegative predictive valueProspective studiesPulmonary diseasesPulmonary embolismSurgery ePublished: 15 August 2006 Issue Published: 15 August 2006 Copyright & PermissionsCopyright © 2006 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...