Comparisons of clinical scoring systems among suspected pulmonary embolism patients presenting to emergency department.

ABSTRACT:

Introduction

Pulmonary embolism (PE) is among the most severe cardiovascular disorders worldwide. Timely and appropriate diagnosis of PE remains an important step in reducing PE related mortality and morbidity.

Methods

In this retrospective single-center cohort study, we comprehensively compared the screening performances of several clinical scoring systems (Wells score [WS], Revised Geneva score [RGS], WS + d-Dimer [D-D], RGS + D-D, WS + PE rule-out criteria [PERC] and RGS + PERC) among PE suspected patients. Failure rates across different PE severity grades as well as overall sensitivity/specificity were considered in evaluating each screening strategy.

Results

A total of 3437 patients were included in this study and 698 of them were diagnosed with PE. Patients with

SUBMITTER: Tang L 

PROVIDER: S-EPMC11335811 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature