Assessment of the Utilization of Validated Diagnostic Predictive Tools and D-Dimer in the Evaluation of Pulmonary Embolism: A Single-Center Retrospective Cohort Study from a Public Hospital in New York City.

Amrin Kharawala,Jiyoung Seo,Diego Barzallo,Gabriel Hernandez Romero,Yunus Emre Demirhan,Gustavo J Duarte,Charan Thej Reddy Vegivinti,Manuel Hache-Marliere,Prasanth Balasubramanian,Heitor Tavares Santos,Sanjana Nagraj,Majd Al Deen Alhuarrat,Dimitrios Karamanis,Dimitrios Varrias,Leonidas Palaiodimos

Journal of clinical medicine（2023）

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摘要

All three validated diagnostic predictive tools were found to have significant diagnostic value in ruling out PE when combined with a D-dimer cut-off of <500 ng/mL or the age-adjusted cut-off. Excessive use of CTPA was likely secondary to suboptimal use of diagnostic predictive tools.

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关键词

pulmonary embolism, computed tomography, CT angiography, D-dimer, Well's score, revised Geneva score, years algorithm

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