Annals of Emergency Medicine
Volume 54, Issue 3 , Pages 442-446 , September 2009

Is the Ordering of Imaging for Suspected Venous Thromboembolism Consistent With D-dimer Result?

Presented as an abstract at the Society for Academic Emergency Medicine annual meeting, May 2008, Washington, DC.

  • Nathan A. Teismann, MD

      Affiliations

    • Corresponding Author InformationAddress for correspondence: Nathan A. Teismann, MD, Department of Emergency Medicine, Alameda County Medical Center–Highland Hospital, 1411 East 31st Street, Oakland, CA 94602; 415-609-8195, Fax 510-437-8322
    • ,
  • Paul T. Cheung, BS
    • ,
  • Bradley Frazee, MD

Received 23 November 2008 ,Revised 24 February 2009 ,Accepted 11 March 2009.

References 

  1. Bounameaux H, de Moerloose P, Perrier A, et al. Plasma measurement of D-dimer as diagnostic aid in suspected venous thromboembolism: an overview. Thromb Haemost. 1994;71:1–6
  2. Perrier A, Desmarais S, Goehring C, et al. D-dimer testing for suspected pulmonary embolism in outpatients. Am J Respir Crit Care Med. 1997;156(2 pt 1):492–496
  3. Stein PD, Hull RD, Patel KC, et al. D-dimer for the exclusion of acute venous thrombosis and pulmonary embolism: a systematic review. Ann Intern Med. 2004;140:589–602
  4. Di Nisio M, Squizzato A, Rutjes AWS, et al. Diagnostic accuracy of D-dimer test for exclusion of venous thromboembolism: a systematic review. J Thromb Haemost. 2007;5:296–304
  5. Kruip MJHA, Leclercq MGL, van der Heul C, et al. Diagnostic strategies for excluding pulmonary embolism in clinical outcome studies (A systematic review). Ann Intern Med. 2003;138:941–951
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  7. American College of Emergency Physicians Clinical Policies Subcommittee; Clinical Policies Subcommittee on Suspected Pulmonary Embolism. Clinical policy: critical issues in the evaluation and management of adult patients presenting with suspected pulmonary embolism. Ann Emerg Med. 2003;41:257–270
  8. Wells PS, Anderson DR, Rodger M, et al. Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. N Engl J Med. 2003;349:1227–1235
  9. Qaseem A, Snow V, Barry P, et al. Current diagnosis of venous thromboembolism in primary care: a clinical practice guideline from the American Academy of Family Physicians and the American College of Physicians. Ann Fam Med. 2007;5:57–62
  10. Runyon MS, Richman PB, Kline JA. Emergency medicine practitioner knowledge and use of decision rules for the evaluation of patients with suspected pulmonary embolism: variations by practice setting and training level. Acad Emerg Med. 2007;14:53–57
  11. Arnason T, Wells PS, Forster AJ. Appropriateness of diagnostic strategies for evaluating suspected venous thromboembolism. Thromb Haemost. 2007;97:195–201
  12. Roy P, Meyer G, Vielle B, et al. Appropriateness of diagnostic management and outcomes of suspected pulmonary embolism. Ann Intern Med. 2006;144:157–164
  13. Kline JA, Courtney DM, Kabrhel C, et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria. J Thromb Haemost. 2008;6:772–780
  14. Wells PS, Ginsberg JS, Anderson DR, et al. Use of a clinical model for safe management of patients with suspected pulmonary embolism. Ann Intern Med. 1998;129:997–1005
  15. Wicki J, Perneger TV, Junod AF, et al. Assessing clinical probability of pulmonary embolism in the emergency ward: a simple score. Arch Intern Med. 2001;161:92–97
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 Supervising editor: Allan B. Wolfson, MD

 Author contributions: NAT and BF conceived the study and designed the trial. NAT and PTC abstracted data from patients' electronic medical records and organized the data. NAT drafted the article, and all authors contributed substantially to its revision. NAT takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement.

 Publication date: Available online April 25, 2009.

 Reprints not available from the authors.

PII: S0196-0644(09)00279-0

doi: 10.1016/j.annemergmed.2009.03.017

Annals of Emergency Medicine
Volume 54, Issue 3 , Pages 442-446 , September 2009

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