ArticleHealth SA = SA Gesondheid2024
Pulmonary embolism diagnosis with D-dimer levels and computed tomography.
Article in Health SA = SA Gesondheid, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Pulmonary embolism (PE), a common heart and blood vessel disease, causes complications such as haemodynamic instability and cardiovascular mortality. Timely diagnosis and treatment are imperative for managing this potentially life-threatening condition. Aim: The aim of this study was to establish the relationship between an elevated D-dimer level and a positive computed tomography pulmonary angiogram (CTPA), which could confirm PE in patients with chest pain and suspected PE. Setting: Data were collected at a private diagnostic radiology practice located in Bloemfontein, South Africa. Methods: Data were retrospectively collected from the Picture Archiving and Communications System (PACS). Results: Of the sampled patients ( Conclusion: No strong relationship between elevated D-dimer levels in the blood and a positive yield of PE after CTPA; was found hence, clinical decision rules for PE workups need refining, especially to limit unnecessary CTPA referrals in this setting. Contribution: The findings suggest that PE workup at the private practice should be revised to improve the quality of service.
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