Comparison of clinical assessments with computerized tomography pulmonary angiography results in the diagnosis of pulmonary embolism; [Pulmoner emboli tanisinda klinik olasiliklarin bilgisayarli tomografi pulmoner anjiyografi bulgulari ile karşilaştirilmasi]

Simple item page
dc.contributor.authorGülcü A.
dc.contributor.authorAkkoçlu A.
dc.contributor.authorYilmaz E.
dc.contributor.authorÖztürk B.
dc.contributor.authorOsma E.
dc.contributor.authorŞengün B.
dc.date.accessioned2024-07-22T08:22:41Z
dc.date.available2024-07-22T08:22:41Z
dc.date.issued2007
dc.description.abstractPulmonary embolism (PE) is difficult to diagnose. We investigated the relationship between computed tomography pulmonary angiography (CTPA) with clinical assessments and thrombus localization. 56 patients with the suspicion of PE; 27 male, 29 female were included. They were evaluated by empirical and Wells clinical assessments, tested with D-Dimer. According to the combination of both CTPA was performed where necessary (if one of the clinical assessments was high or intermediate or those with low clinical probability and high D-Dimer) in the algorithm we used. CTPA was regarded as gold standard. Dyspnea, chest pain, tachypnea, crackles were the most common symptoms and signs in patients having PE. Recent surgery within the risk factors was significantly higher in the PE present group. PE was diagnosed in 31 (55.4%) patients with CTPA. According to the empirical assessment 20 (64.5%) of the patients had high, 10 (32.3%) had intermediate and 1 (3.2%) had low clinical probability within 31 PE present group, while with Wells scoring 8 (25.8%) had high, 17 (54.8%) had intermediate and 6 (19.4%) had low clinical probability. Sensitivity of the empirical assessment and Wells scoring was 97%, 80% while the specifity was 16%, 68% respectively. Positive and negative predictive values of empirical assessment were 59%, 80% and these values of Wells scoring were 76%, 73% respectively. Thrombus was localized in main pulmonary arteries in 45.8% of patients with high clinical probability according to the empirical assessment. With Wells scoring in 45.5% of the high probability patients and only in 4.3% of the low probibility patients thrombus was there. PE can be diagnosed noninvasioely. Since PE can easily be underdiagnosed, empirical assessment which is more sensitive will be appropriate. There is a significant correlation between clinical assessments and presence of PE in CTPA. As the severity of clinical assessment increases, thrombus settles more proximal.
dc.identifier.issn04941373
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19176
dc.language.isoTurkish
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectAngiography
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPredictive Value of Tests
dc.subjectPulmonary Embolism
dc.subjectSensitivity and Specificity
dc.subjectSeverity of Illness Index
dc.subjectTomography, X-Ray Computed
dc.subjectD dimer
dc.subjectadult
dc.subjectaged
dc.subjectalgorithm
dc.subjectarticle
dc.subjectclinical assessment
dc.subjectcomputer assisted tomography
dc.subjectcontrolled study
dc.subjectcorrelation analysis
dc.subjectdyspnea
dc.subjectempiricism
dc.subjectfemale
dc.subjectgold standard
dc.subjecthuman
dc.subjectintermethod comparison
dc.subjectlung angiography
dc.subjectlung embolism
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectphysical disease by body function
dc.subjectprediction and forecasting
dc.subjectprobability
dc.subjectpulmonary artery
dc.subjectrisk factor
dc.subjectscoring system
dc.subjectsensitivity and specificity
dc.subjecttachypnea
dc.subjectthorax pain
dc.subjectthrombus
dc.titleComparison of clinical assessments with computerized tomography pulmonary angiography results in the diagnosis of pulmonary embolism; [Pulmoner emboli tanisinda klinik olasiliklarin bilgisayarli tomografi pulmoner anjiyografi bulgulari ile karşilaştirilmasi]
dc.typeArticle

Files

Collections

Scopus Koleksiyonu