SGEM#277: In the Pregnant YEARS – Diagnosing Pulmonary Embolism

Studien extrahiert aus dem Podcast von Dr. Ken Milne

• 2019ArtemisImaging & DiagnosticsIn498 pregnant women with suspected pulmonary embolism,the pregnancy-adapted YEARS algorithmleft0.21% with venous thromboembolism at 3 months and avoided CT pulmonary angiography in 39%.
• 2017YEARSImaging & DiagnosticsIn 3465 patients with suspected pulmonary embolism, the YEARS algorithm ruled out PE with 0.61% 3-month VTE and 14% fewer CTPAs than Wells' rule with fixed D-dimer.
• 2018Multicenter Evaluation of the YEARS Criteria in Emergency Department Patients Evaluated for Pulmonary EmbolismImaging & DiagnosticsIn1,789 ED patients with suspected pulmonary embolism,YEARS-adjusted D-dimer testingavoided more imaging thana standard D-dimer threshold, atlower sensitivity