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ACP Journal Club |20 September 2011

4 clinical decision rules plus D-dimer testing each had high sensitivity and low specificity for excluding acute pulmonary embolism

Andrew Dunn, MD, FACP, SFHM

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Douma RA, Mos IC, Erkens PM, et al; Prometheus Study Group. Performance of 4 clinical decision rules in the diagnostic management of acute pulmonary embolism: a prospective cohort study. Ann Intern Med. 2011;154:709-18. 21646554

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The results of the prospective study by Douma and colleagues confirm and extend prior work assessing the utility of CDRs in managing suspected PE. 4 CDRs were prospectively applied for suspected PE, and the results indicated that risk stratification using the CDRs and any of 4 sensitive D-dimer assays safely avoided the need for CT angiography for 22% to 24%...
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Dunn A. 4 clinical decision rules plus D-dimer testing each had high sensitivity and low specificity for excluding acute pulmonary embolism. Ann Intern Med. 2011;155:JC3–11. doi: 10.7326/0003-4819-155-6-201109200-02011

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Published: Ann Intern Med. 2011;155(6):JC3-11.

DOI: 10.7326/0003-4819-155-6-201109200-02011

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