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Diagnosis of Pulmonary Embolism with d-Dimer Adjusted to Clinical Probability
by
Le Gal, Gregoire
, Wu, Cynthia
, Kearon, Clive
, Hirsch, Andrew
, Sharma, Sangita
, Afilalo, Marc
, Lazo-Langner, Alejandro
, Rudd-Scott, Lisa
, Julian, Jim A
, Spencer, Frederick A
, Schulman, Sam
, D’Aragon, Frédérick
, Bates, Shannon M
, de Wit, Kerstin
, Parpia, Sameer
, Deshaies, Jean-François
in
Adult
/ Aged
/ Algorithms
/ Angiography
/ Anticoagulants
/ Chest
/ Clinical Decision Rules
/ Computed tomography
/ Computed Tomography Angiography
/ Consent
/ Diagnosis
/ Diagnostic tests
/ Embolism
/ Embolisms
/ Enrollments
/ Female
/ Fibrin Fibrinogen Degradation Products - analysis
/ Health risk assessment
/ Humans
/ Male
/ Medical diagnosis
/ Medical imaging
/ Medical research
/ Middle Aged
/ Patients
/ Predictive Value of Tests
/ Probability
/ Prospective Studies
/ Pulmonary Embolism - blood
/ Pulmonary Embolism - diagnosis
/ Pulmonary Embolism - diagnostic imaging
/ Pulmonary embolisms
/ Thromboembolism
2019
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Diagnosis of Pulmonary Embolism with d-Dimer Adjusted to Clinical Probability
by
Le Gal, Gregoire
, Wu, Cynthia
, Kearon, Clive
, Hirsch, Andrew
, Sharma, Sangita
, Afilalo, Marc
, Lazo-Langner, Alejandro
, Rudd-Scott, Lisa
, Julian, Jim A
, Spencer, Frederick A
, Schulman, Sam
, D’Aragon, Frédérick
, Bates, Shannon M
, de Wit, Kerstin
, Parpia, Sameer
, Deshaies, Jean-François
in
Adult
/ Aged
/ Algorithms
/ Angiography
/ Anticoagulants
/ Chest
/ Clinical Decision Rules
/ Computed tomography
/ Computed Tomography Angiography
/ Consent
/ Diagnosis
/ Diagnostic tests
/ Embolism
/ Embolisms
/ Enrollments
/ Female
/ Fibrin Fibrinogen Degradation Products - analysis
/ Health risk assessment
/ Humans
/ Male
/ Medical diagnosis
/ Medical imaging
/ Medical research
/ Middle Aged
/ Patients
/ Predictive Value of Tests
/ Probability
/ Prospective Studies
/ Pulmonary Embolism - blood
/ Pulmonary Embolism - diagnosis
/ Pulmonary Embolism - diagnostic imaging
/ Pulmonary embolisms
/ Thromboembolism
2019
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Diagnosis of Pulmonary Embolism with d-Dimer Adjusted to Clinical Probability
by
Le Gal, Gregoire
, Wu, Cynthia
, Kearon, Clive
, Hirsch, Andrew
, Sharma, Sangita
, Afilalo, Marc
, Lazo-Langner, Alejandro
, Rudd-Scott, Lisa
, Julian, Jim A
, Spencer, Frederick A
, Schulman, Sam
, D’Aragon, Frédérick
, Bates, Shannon M
, de Wit, Kerstin
, Parpia, Sameer
, Deshaies, Jean-François
in
Adult
/ Aged
/ Algorithms
/ Angiography
/ Anticoagulants
/ Chest
/ Clinical Decision Rules
/ Computed tomography
/ Computed Tomography Angiography
/ Consent
/ Diagnosis
/ Diagnostic tests
/ Embolism
/ Embolisms
/ Enrollments
/ Female
/ Fibrin Fibrinogen Degradation Products - analysis
/ Health risk assessment
/ Humans
/ Male
/ Medical diagnosis
/ Medical imaging
/ Medical research
/ Middle Aged
/ Patients
/ Predictive Value of Tests
/ Probability
/ Prospective Studies
/ Pulmonary Embolism - blood
/ Pulmonary Embolism - diagnosis
/ Pulmonary Embolism - diagnostic imaging
/ Pulmonary embolisms
/ Thromboembolism
2019
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Diagnosis of Pulmonary Embolism with d-Dimer Adjusted to Clinical Probability
Journal Article
Diagnosis of Pulmonary Embolism with d-Dimer Adjusted to Clinical Probability
2019
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Overview
Among patients with a low clinical pretest probability of pulmonary embolism and a
d
-dimer level of less than 1000 ng per milliliter (twice the usual threshold used to rule out the disorder), the need for diagnostic imaging was reduced from 51.9% to 34.3% of patients, without increasing the risk of missing the diagnosis of pulmonary embolism.
Publisher
Massachusetts Medical Society
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