Evidence map›Paper›PMID 34112636›Full record

ArticleBMJ case reports2021

Comprehensive management of acute pulmonary embolism in primary care using telemedicine in the COVID-era.

Joshua Chang, Dayna J Isaacs, Joseph Leung, David R Vinson

Open access · hybridAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Joshua ChangInternal Medicine Residency Program, Kaiser Foundation Health Plan Inc, Oakland, California, USA.ORCID http://orcid.org/0000-0003-3591-602X
Dayna J IsaacsUniversity of California Davis School of Medicine, Sacramento, California, USA.ORCID http://orcid.org/0000-0002-3302-774X
Joseph LeungAdult and Family Medicine, Kaiser Permanente San Francisco Medical Center, San Francisco, California, USA.
David R VinsonEmergency Medicine, Kaiser Permanente Roseville Medical Center, Roseville, California, USA drvinson@ucdavis.edu.ORCID http://orcid.org/0000-0001-6559-1858
Kaiser Foundation Hospital · USKaiser Permanente · USKaiser Permanente San Francisco Medical Center · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A healthy, active woman in her 70s reported intermittent exertional dyspnoea for 2 months, notable during frequent open-water swimming. Symptoms were similar to an episode of travel-provoked pulmonary embolism 3 years prior. She denied chest pain, cough, fever, extremity complaints and symptoms at rest. Due to the COVID-19 pandemic, her healthcare system was using secure telemedicine to evaluate non-critical complaints. During the initial video visit, she appeared well, conversing normally without laboured breathing. An elevated serum D-dimer prompted CT pulmonary angiography, which identified acute lobar pulmonary embolism. After haematology consultation and telephone conversation with the patient, her physician prescribed rivaroxaban. Her symptoms rapidly improved. She had an uneventful course and is continuing anticoagulation indefinitely. The pandemic has increased the application of telemedicine for acute care complaints. This case illustrates its safe and effective use for comprehensive management of acute pulmonary embolism in the primary care setting.

Indexed as

COVID-19Pulmonary EmbolismTelemedicineFemaleHumansPandemicsPrimary Health CareSARS-CoV-2general practice / family medicinehealth informaticspulmonary embolismvenous thromboembolism

Identifiers

PMID34112636
PMCPMC8193694
OpenAlexW3170081703

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.