Download PDF
Thromb Haemost 2006; 96(02): 107-108
DOI: 10.1160/TH06-07-0363
Editorial Focus
Schattauer GmbH

Outcome studies of pulmonary embolism versus accuracy: They do not equate

Paul D. Stein
1   Department of Research, St. Joseph Mercy Oakland Hospital, Pontiac, Michigan
2   Department of Medicine, Wayne State University, Detroit, Michigan
,
Afzal Beemath
1   Department of Research, St. Joseph Mercy Oakland Hospital, Pontiac, Michigan
,
Lawrence R. Goodman
3   Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin
,
Charles A. Hales
4   Department of Medicine, Massachusetts General Hospital, and Harvard Medical School, Boston, Massachusetts
,
Russell D. Hull
5   Department of Medicine, University of Calgary, Calgary, Alberta, Canada
,
H. Dirk Sostman
6   Office of the Dean, Weill Cornell Medical College and The Methodist Hospital, Houston, Texas
,
John G. Weg
7   Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA
› Author AffiliationsFinancial support: This study was supported by Grants HL63928, HL63940, and HL63982 from the U.S. Department of Health and Human Services, Public Health Services, National Heart, Lung, and Blood Institute, Bethesda, Maryland.
Further Information

Publication History

Received 03 July 2006

Accepted 11 July 2006

Publication Date:
28 November 2017 (online)

    Permissions and Reprints

 

 

  • References

  • 1 Stein PD, Fowler SE, Goodman LR. et al. for the PIOPED II Investigators. Multidetector computed tomography for acute pulmonary embolism. N Eng J Med 2006; 354: 2317-27.
    CrossrefPubMedGoogle Scholar
  • 2 Christopher Study Investigators. Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography. J Am Med Assoc 2006; 295: 172-9.
    CrossrefPubMedGoogle Scholar
  • 3 Perrier A, Roy P-M, Sanchez O. et al. Multi-row computed tomography in suspected pulmonary embolism. N Eng J Med 2005; 352: 1760-8.
    CrossrefPubMedGoogle Scholar
  • 4 Stein PD, Henry JW. Prevalence of acute pulmonary embolism in central and subsegmental pulmonary arteries and relation to probability interpretation of ventilation/perfusion lung scans. Chest 1997; 11: 1246-8.
    PubMedGoogle Scholar
  • 5 Hermann RE, Davis JH, Holden WD. Pulmonary embolism: A clinical and pathologic study with emphasis on the effect of prophylactic therapy with anticoagulants. Am J Surg 1961; 102: 19-28.
    CrossrefPubMedGoogle Scholar
  • 6 Stein PD, Henry JW. Untreated patients with pulmonary embolism: Outcome, clinical and laboratory assessment. Chest 1995; 107: 931-5.
    CrossrefPubMedGoogle Scholar
  • 7 Hull RD, Raskob GE, Ginsberg JS, Panju AA, Brill-Edwards P, Coates G, Pineo GF. Noninvasive strategy for the treatment of patients with suspected pulmonary embolism. Arch Intern Med 1994; 154: 289-97.
    CrossrefPubMedGoogle Scholar
  • 8 A Collaborative Study by the PIOPED Investigators: Value of the ventilation/perfusion scan in acute pulmonary embolism: Results of the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED). J Am Med Assoc. 1990 263. 2753-9.
    PubMedGoogle Scholar
  • 9 Wells PS, Ginsberg JS, Anderson DR. et al. Use of a clinical model for safe management of patients with suspected pulmonary embolism. Ann Intern Med 1998; 129: 997-1005.
    CrossrefPubMedGoogle Scholar
  • 10 Smith R, Maher JM, Miller RI. et al. Clinical outcomes of patients with suspected pulmonary embolism and low-probability aerosol-perfusion scintigrams. Radiology 1987; 164: 731-3.
    CrossrefPubMedGoogle Scholar
  • 11 Kahn D, Bushnell DL, Dean R, Perlman SB. Clinical outcome of patients witha ‘low probability’ of pulmonary embolism on ventilation-perfusion lung scan. Arch Intern Med 1989; 149: 377-9.
    CrossrefPubMedGoogle Scholar