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Comparison of a Clinical Probability Estimate and Two Clinical Models in Patients with Suspected Pulmonary Embolism
| Content Provider | Scilit |
|---|---|
| Author | Lijmer, Jeroen G. Turkstra, Franktien Prins, Martin H. Büller, Harry R. Sanson, Bernd-Jan |
| Editor | Gillavry, Melvin R. Mac |
| Copyright Year | 2000 |
| Description | Recent studies have suggested that both the subjective judgement of a physician and standardized clinical models can be helpful in the estimation of the probability of the disease in patients with suspected pulmonary embolism (PE). We performed a multi-center study in consecutive in- and outpatients with suspected PE to compare the potential diagnostic utility of these methods. Of the 517 study patients, 160 (31%) were classified as having PE. Of these patients, 14% had a low probability as estimated by the treating physician, while 25 to 36% were categorized as having a low clinical probability with the use of two previously described clinical models. The objectively confirmed prevalence of PE in these three low probability categories was 19%, 28% and 28%, respectively. The three methods yielded comparable predictive values for PE in the other probability categories. We conclude that a physician’s clinical judgement alone and two standardized clinical models, although comparable, perform disappointingly in categorizing the pre-test probability in patients with suspected PE.$ ^{**}$ Participating centers are listed in the appendix, p. 202. |
| Related Links | http://pdfs.semanticscholar.org/2f66/cd08f734e7e4da6e2c92432d3d2ef00f7f20.pdf http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1613785.pdf |
| Ending Page | 203 |
| Page Count | 5 |
| Starting Page | 199 |
| ISSN | 2567689X |
| DOI | 10.1055/s-0037-1613785 |
| Journal | Thrombosis and Haemostasis |
| Issue Number | 02 |
| Volume Number | 83 |
| Language | English |
| Publisher | Georg Thieme Verlag KG |
| Publisher Date | 2000-01-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Thrombosis and Haemostasis Cardiology and Cardiovascular Diseases |
| Content Type | Text |
| Resource Type | Article |
| Subject | Hematology |
