Article ; Online: Clinical features of patients inappropriately undiagnosed of pulmonary embolism.
The American journal of emergency medicine
2013 Volume 31, Issue 12, Page(s) 1646–1650
Abstract: Purposes: The objective of this study was to identify clinical factors associated with delayed diagnosis of acute pulmonary embolism (PE) in the emergency department (ED).: Basic procedures: A retrospective observational study was performed at three ... ...
| Abstract | Purposes: The objective of this study was to identify clinical factors associated with delayed diagnosis of acute pulmonary embolism (PE) in the emergency department (ED). Basic procedures: A retrospective observational study was performed at three University affiliated Hospitals; 436 consecutive patients who presented to the ED with an acute PE confirmed by chest computed tomography from 2008 to 2011 were included. Patients were divided into 3 groups: group 1, PE was diagnosed while the patient was still in the ED; group 2, PE was diagnosed during hospitalization; group 3, patients who were sent home with a wrong alternative diagnosis and returned to the ED and were diagnosed of PE. Main findings: One hundred forty-six patients (33.5%) had a delayed diagnosis of PE--21.5% belong to group 2 and 11.9% to Group 3. Chronic coexisting medical conditions like asthma or chronic obstructive pulmonary disease were independent predictors of a delayed diagnosis in patients who were admitted to hospital whereas non-specific and less severe symptoms like the presence of pleuro-mechanic thoracic pain, fever, hemoptysis, or the presence of a pulmonary infiltrate in chest x-ray were independent predictors of a delayed diagnosis in patients who were sent home. Principal conclusions: Delay in diagnosis of acute PE is frequent despite current diagnostic strategies. Patients are sent home or admitted to hospital with a wrong diagnosis depending on clinical presentation or coexisting medical conditions. |
|||||
|---|---|---|---|---|---|---|
| MeSH term(s) | Age Distribution ; Aged ; Aged, 80 and over ; Chest Pain/etiology ; Comorbidity ; Coronary Artery Disease/epidemiology ; Cough/etiology ; Delayed Diagnosis/statistics & numerical data ; Diabetes Mellitus/epidemiology ; Diagnostic Errors/statistics & numerical data ; Emergency Service, Hospital ; Female ; Heart Failure/epidemiology ; Hemoptysis/etiology ; Humans ; Male ; Middle Aged ; Pulmonary Disease, Chronic Obstructive/epidemiology ; Pulmonary Embolism/complications ; Pulmonary Embolism/diagnosis ; Pulmonary Embolism/epidemiology ; Retrospective Studies ; Risk Factors ; Smoking/epidemiology ; Tomography, X-Ray Computed | |||||
| Language | English | |||||
| Publishing date | 2013-12 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article ; Observational Study | |||||
| ZDB-ID | 605890-5 | |||||
| ISSN | 1532-8171 ; 0735-6757 | |||||
| ISSN (online) | 1532-8171 | |||||
| ISSN | 0735-6757 | |||||
| DOI | 10.1016/j.ajem.2013.08.037 | |||||
| Shelf mark |
|
|||||
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.A 2005: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.