2019
Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs
Daley JI, Dwyer KH, Grunwald Z, Shaw DL, Stone MB, Schick A, Vrablik M, Hall M, Hall J, Liteplo AS, Haney RM, Hun N, Liu R, Moore CL. Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. Academic Emergency Medicine 2019, 26: 1211-1220. PMID: 31562679, DOI: 10.1111/acem.13774.Peer-Reviewed Original ResearchConceptsAbnormal vital signsComputed tomography angiographyBeats/minPulmonary embolismVital signsProspective observational multicenter cohort studyCardiac ultrasoundTricuspid annular plane systolic excursionObservational multicenter cohort studyAnnular plane systolic excursionDiagnosis of PERight ventricular dysfunctionMulticenter cohort studyRight ventricular dilationUrban academic EDEmergency department patientsEntire patient populationVital sign abnormalitiesFocused cardiac ultrasoundRapid bedside testDiagnostic test characteristicsSubstantial interobserver agreementMcConnell's signVentricular dysfunctionCohort study
2016
Emergency physician performed tricuspid annular plane systolic excursion in the evaluation of suspected pulmonary embolism
Daley J, Grotberg J, Pare J, Medoro A, Liu R, Hall MK, Taylor A, Moore CL. Emergency physician performed tricuspid annular plane systolic excursion in the evaluation of suspected pulmonary embolism. The American Journal Of Emergency Medicine 2016, 35: 106-111. PMID: 27793505, DOI: 10.1016/j.ajem.2016.10.018.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overCohort StudiesComputed Tomography AngiographyEchocardiographyEmergency MedicineFemaleHumansMaleMiddle AgedObserver VariationPhysiciansPoint-of-Care SystemsPoint-of-Care TestingProspective StudiesPulmonary EmbolismReproducibility of ResultsROC CurveSensitivity and SpecificitySystoleTricuspid ValveVentricular Dysfunction, RightYoung AdultConceptsTricuspid annular plane systolic excursionAnnular plane systolic excursionDiagnosis of PEPulmonary embolismSystolic excursionProspective observational cohort studyUrban academic emergency departmentObservational cohort studyAcademic emergency departmentCharacteristic curve analysisModerate diagnostic valueIntraclass correlation coefficientCohort studyEmergency departmentTomographic angiographyEmergency physiciansOptimal cutoffPatientsDiagnostic valueAbnormal cutoffsSecondary objectiveΚ statisticCurve analysisConvenience sampleInterrater reliability
2013
Point-of-Care Focused Cardiac Ultrasound for Prediction of Pulmonary Embolism Adverse Outcomes
Taylor RA, Davis J, Liu R, Gupta V, Dziura J, Moore CL. Point-of-Care Focused Cardiac Ultrasound for Prediction of Pulmonary Embolism Adverse Outcomes. Journal Of Emergency Medicine 2013, 45: 392-399. PMID: 23827166, DOI: 10.1016/j.jemermed.2013.04.014.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overEchocardiographyEmergency Service, HospitalFemaleHemorrhageHospital MortalityHumansMaleMiddle AgedPoint-of-Care SystemsPredictive Value of TestsPrognosisPulmonary EmbolismRecurrenceRespiratory InsufficiencyRetrospective StudiesRisk FactorsShockVenous ThromboembolismVentricular Dysfunction, RightConceptsRight ventricular strainHospital adverse outcomesRetrospective chart reviewPulmonary embolismAdverse outcomesEmergency departmentChart reviewCardiac ultrasoundHighest positive likelihood ratioRecurrent venous thromboembolismLow negative likelihood ratioSignificant predictorsEmergency care practitionersFocused cardiac ultrasoundFOCUS examinationPositive likelihood ratioNegative likelihood ratioMajor bleedingLikelihood ratioRespiratory failureVenous thromboembolismTransthoracic echocardiographyHospital admissionIndependent predictorsVentricular strain