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Naslov:Capnometry in suspected pulmonary embolism with positive D-dimer on the field
Avtorji:Hernja Rumpf, Tadeja (Avtor)
Križmarić, Miljenko (Avtor)
Grmec, Štefek (Avtor)
Datoteke:.pdf Critical_Care_2009_Rumpf,_Krizmaric,_Grmec_Capnometry_in_suspected_pulmonary_embolism_with_positive_D-dimer_in_the_field.pdf (397,36 KB)
 
URL http://ccforum.biomedcentral.com/articles/10.1186/cc8197
 
Jezik:Angleški jezik
Vrsta gradiva:Znanstveno delo (r2)
Tipologija:1.01 - Izvirni znanstveni članek
Organizacija:FZV - Fakulteta za zdravstvene vede
Opis:Introduction: Pulmonary embolism (PE) is one of the greatest diagnostic challenges in prehospital emergency setting. Most patients with suspected PE have a positive D-dimer and undergo diagnostic testing. Excluding PE with additional non-invasive tests would reduce the need for further imaging tests. We aimed to determine the effectiveness of combination of clinical probability and end-tidal carbon dioxide (PetCO2) for evaluation of suspected PE with abnormal concentrations of D-dimer in prehospital emergency setting. Methods: We assessed clinical probability of PE and PetCO2 measurement in 100 consecutive patients with suspected PE and positive D-dimer in the field. PetCO2 > 28 mmHg was considered as the best cut-off point. PE was excluded or confirmed by hospital physicians in the University Clinical Center Maribor by computer tomography (CT), ventilation/ perfusion scan echocardiography and pulmonary angiography. Results: PE was confirmed in 41 patients. PetCO2 had a sensitivity of 92.6% (95% CI, 79 to 98%), a negative predictive value of 94.2 % (95% CI, 83 to 99%), a specificity of 83 % (95% CI, 71 to 91%) and a positive predictive value of 79.2% (95% CI, 65 to 89%). Thirty-five patients (35%) had both a low (PE unlikely) clinical probability and a normal PetCO2 (sensitivity: 100%, 95% CI: 89 to 100%) and twenty-eight patients (28%) had both a high clinical probability (PE likely) and abnormal PetCO2 (specificity: 93.2%, 95% CI: 83 to 98%). Conclusions: The combination of clinical probability and PetCO2 may safely rule out PE in patients with suspected PE and positive D-dimer in the prehospital setting.
Ključne besede:capnometry, pulmonary embolism, D-dimer
Leto izida:2009
Št. strani:str. 1-9
Številčenje:Letn. 13
ISSN:1466-609X
UDK:616.24-005-083.98
COBISS_ID:3502399 Povezava se odpre v novem oknu
DOI:10.1186/cc8197 Povezava se odpre v novem oknu
ISSN pri članku:1466-609X
Licenca:CC BY 4.0
To delo je dosegljivo pod licenco Creative Commons Priznanje avtorstva 4.0 Mednarodna
Število ogledov:155
Število prenosov:4
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Gradivo je del revije

Naslov:Critical Care
Skrajšan naslov:Crit. Care
Založnik:BioMed Central
ISSN:1466-609X
COBISS.SI-ID:1137983 Novo okno

Sekundarni jezik

Jezik:Slovenski jezik
Ključne besede:kapnometrija, pljučna embolija, D-dimer


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