pubmed-article:11194920 | rdf:type | pubmed:Citation | lld:pubmed |
pubmed-article:11194920 | lifeskim:mentions | umls-concept:C0034065 | lld:lifeskim |
pubmed-article:11194920 | lifeskim:mentions | umls-concept:C0205160 | lld:lifeskim |
pubmed-article:11194920 | lifeskim:mentions | umls-concept:C2917212 | lld:lifeskim |
pubmed-article:11194920 | lifeskim:mentions | umls-concept:C0860888 | lld:lifeskim |
pubmed-article:11194920 | lifeskim:mentions | umls-concept:C0750491 | lld:lifeskim |
pubmed-article:11194920 | pubmed:issue | 1 | lld:pubmed |
pubmed-article:11194920 | pubmed:dateCreated | 2001-1-18 | lld:pubmed |
pubmed-article:11194920 | pubmed:abstractText | The goal of this study was 3-month clinical outcome in nonanticoagulated patients with clinically suspected acute pulmonary embolism (PE) following a negative spiral CT. During a 6-month period 305 patients underwent spiral CT, of whom only 8 also had a lung scintigraphy. In patients with a final CT report read as not positive for acute PE, all hospital records and answers to a patient questionnaire were analyzed for episodes of venous thrombembolism (VTE). Acute PE was diagnosed at spiral CT in 61 patients (20%). Twenty-six of the remaining 244 patients were excluded from further analysis because of (a) long-term anticoagulation due to symptomatic acute deep venous thrombosis (n = 5), clinically diagnosed acute PE (n = 2), chronic recurrent VTE (n = 4), and cardiac disorders (n = 5); and (b) a normal perfusion scintigram (n = 4) or a negative pulmonary arteriogram (n = 6). Three patients were lost to follow-up. Among the remaining 215 patients only 10 had undergone a negative lower extremity venous study. Sixteen patients (7%) died during the follow-up period, 6 of whom underwent autopsy. Venous thrombembolism was diagnosed in three of the 215 patients (1.4%, 95% confidence limits: 0.5-4.0%), one causing the patient's death. Two patients had advanced thoracic malignancies and the third severe chronic obstructive pulmonary disease (84 years old). A negative spiral CT may be able to exclude clinically significant acute PE with the same accuracy as a normal lung scintigraphy or a negative pulmonary arteriography. | lld:pubmed |
pubmed-article:11194920 | pubmed:language | eng | lld:pubmed |
pubmed-article:11194920 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
pubmed-article:11194920 | pubmed:citationSubset | IM | lld:pubmed |
pubmed-article:11194920 | pubmed:chemical | http://linkedlifedata.com/r... | lld:pubmed |
pubmed-article:11194920 | pubmed:status | MEDLINE | lld:pubmed |
pubmed-article:11194920 | pubmed:issn | 0938-7994 | lld:pubmed |
pubmed-article:11194920 | pubmed:author | pubmed-author:BergAA | lld:pubmed |
pubmed-article:11194920 | pubmed:author | pubmed-author:NymanUU | lld:pubmed |
pubmed-article:11194920 | pubmed:author | pubmed-author:GottsäterAA | lld:pubmed |
pubmed-article:11194920 | pubmed:author | pubmed-author:FrennbyBB | lld:pubmed |
pubmed-article:11194920 | pubmed:author | pubmed-author:NirhovNN | lld:pubmed |
pubmed-article:11194920 | pubmed:author | pubmed-author:CentergårdJJ | lld:pubmed |
pubmed-article:11194920 | pubmed:issnType | Print | lld:pubmed |
pubmed-article:11194920 | pubmed:volume | 11 | lld:pubmed |
pubmed-article:11194920 | pubmed:owner | NLM | lld:pubmed |
pubmed-article:11194920 | pubmed:authorsComplete | Y | lld:pubmed |
pubmed-article:11194920 | pubmed:pagination | 65-72 | lld:pubmed |
pubmed-article:11194920 | pubmed:dateRevised | 2004-11-17 | lld:pubmed |
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pubmed-article:11194920 | pubmed:year | 2001 | lld:pubmed |
pubmed-article:11194920 | pubmed:articleTitle | Clinically suspected pulmonary embolism: is it safe to withhold anticoagulation after a negative spiral CT? | lld:pubmed |
pubmed-article:11194920 | pubmed:affiliation | Department of Vascular and Renal Diseases, Malmö University Hospital, Lund University, Sweden. | lld:pubmed |
pubmed-article:11194920 | pubmed:publicationType | Journal Article | lld:pubmed |
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