Clinical probability scoring and pulmonary embolism
- Report By: Ged Brown - Specialist Registrar
- Search checked by Kerstin Hogg - Clinical Research Fellow
- Institution: Manchester Royal Infirmary
- Date Submitted: 10th April 2003
- Date Completed: 1st July 2003
- Last Modified: 2nd July 2003
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Status:
Green (complete)
Three Part Question
In [a patient presenting with features suggestive of pulmonary embolus] what is [the diagnostic utility of clinical assessment] in [stratifying risk of pulmonary embolus]?Clinical Scenario
A 30 year old man presents to the emergency department with a spontaneous onset of atraumatic pleuritic chest pain. He has no previous medical history and has no shortness of breath or haemodynamic compromise. You wonder whether his clinical features and risk factors can help to safely exclude a pulmonary embolus.Search Strategy
Medline 1966-06/03 using the OVID interface.(exp Pulmonary Embolism OR exp THROMBOEMBOLISM OR PE.mp OR pulmonary infarct$.mp OR Pulmonary Embol$.mp) AND (exp Risk Assessment OR risk assessment.mp OR risk stratification.mp OR probability.mp) LIMIT to human AND English language