2012
Evaluation of Pulmonary Embolism in the Emergency Department and Consistency With a National Quality Measure: Quantifying the Opportunity for Improvement
Venkatesh AK, Kline JA, Courtney DM, Camargo CA, Plewa MC, Nordenholz KE, Moore CL, Richman PB, Smithline HA, Beam DM, Kabrhel C. Evaluation of Pulmonary Embolism in the Emergency Department and Consistency With a National Quality Measure: Quantifying the Opportunity for Improvement. JAMA Internal Medicine 2012, 172: 1028-1032. PMID: 22664742, PMCID: PMC3775003, DOI: 10.1001/archinternmed.2012.1804.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedDiagnosis, DifferentialEmergency Service, HospitalFemaleFibrin Fibrinogen Degradation ProductsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioProspective StudiesPulmonary EmbolismQuality ImprovementQuality of Health CareRadiation InjuriesRadiographyRisk AssessmentSensitivity and SpecificityUnited StatesUnnecessary ProceduresConceptsNegative D-dimer test resultD-dimer test resultPulmonary embolismLow pretest probabilityD-dimer testEmergency departmentNational Quality ForumED patientsPretest probabilitySecondary analysisNQF measureMulticenter observational studyLow-risk patientsPatient-level predictorsUS emergency departmentsD-dimer testingMultivariable logistic regressionNational quality measuresInappropriate imagingAdult patientsPrimary outcomeMalignant diseaseObservational studyPatientsUnnecessary irradiation
2008
Prospective multicenter evaluation of the pulmonary embolism rule‐out criteria
KLINE JA, COURTNEY DM, KABRHEL C, MOORE CL, SMITHLINE HA, PLEWA MC, RICHMAN PB, O'NEIL BJ, NORDENHOLZ K. Prospective multicenter evaluation of the pulmonary embolism rule‐out criteria. Journal Of Thrombosis And Haemostasis 2008, 6: 772-780. PMID: 18318689, DOI: 10.1111/j.1538-7836.2008.02944.x.Peer-Reviewed Original ResearchConceptsPulmonary embolismLow suspicionGestalt estimateLow-risk patientsPulmonary Embolism RuleProspective multicenter evaluationPretest probability estimatesPost-test probabilityChest painChief complaintEmergency departmentMAIN OUTCOMEMulticenter evaluationPatientsFalse negative rateDiagnostic testsSuspicionOutpatientsCliniciansTest ordersDeathData formInitial testingDaysDyspnea