Pulmonary artery thromboembolism: Factors of prehospital overdiagnosis. Ermolaev, A., A., Plavunov, N., F., Spiridonova, E., A., Baratashvili, V., L., & Stazhadze, L., L. Terapevticheskii Arkhiv, 84(4):17-22, 2012. Website abstract bibtex Aim: Detection and analysis of factors of pulmonary artery thromboembolism (PATE) overdiagnosis in a prehospital setting. Material and methods: A total of 102 patients with prehospital diagnosis of PATE entered the study. Prehospital clinical and ECG picture was compared in groups of verified PATE (n=61) and rejected PATE (n=41). Clinical probability of PATE was assessed retrospectively according to Revised Geneva Score (RGS) scale. In 47 cases the analysis was made in dynamics (in 92±42.1 min, on the average). Results: In the group of patients with false-positive PATE diagnosis we significantly more frequently observed angina-like chest pain and satisfactory condition at examination, ECG evidence for right heart overloading (the most significant marker SI-QIIP p=0.009) occurred less often, mean heart rate was significantly lower than in patients with verified PATE (85 ± 23,8 and 100±23,0 b/min, respectively; p = 0,007). Low probability of PATE by the RGS scale was stated in 37% patients from the group with false-positive diagnosis and only in 8% patients with a verified diagnosis of PATE (p = 0.0005). Conclusion: Prehospital PATE overdiagnosis can be explained by non-specificity of clinical and ECG picture of the disease in acute period. Application of the RGS scale is effective for objective assessment of the condition and accurate diagnosis.
@article{
title = {Pulmonary artery thromboembolism: Factors of prehospital overdiagnosis},
type = {article},
year = {2012},
identifiers = {[object Object]},
keywords = {Overdiagnosis,Prehospital setting,Pulmonary artery thromboembolism},
pages = {17-22},
volume = {84},
websites = {https://elibrary.ru/item.asp?id=20155607,http://www.ncbi.nlm.nih.gov/pubmed/22774485},
id = {6560609e-c891-3be0-98a2-f2eea9b6e3d0},
created = {2020-09-03T09:55:36.254Z},
file_attached = {false},
profile_id = {8f80f9b8-2860-34d1-8129-337101945313},
last_modified = {2020-09-16T14:59:59.663Z},
read = {false},
starred = {true},
authored = {true},
confirmed = {false},
hidden = {false},
folder_uuids = {3b6b3a51-3f12-405a-8390-afeab6608253,10cb8021-9e10-468e-b14d-4a626ad4a213},
private_publication = {false},
abstract = {Aim: Detection and analysis of factors of pulmonary artery thromboembolism (PATE) overdiagnosis in a prehospital setting. Material and methods: A total of 102 patients with prehospital diagnosis of PATE entered the study. Prehospital clinical and ECG picture was compared in groups of verified PATE (n=61) and rejected PATE (n=41). Clinical probability of PATE was assessed retrospectively according to Revised Geneva Score (RGS) scale. In 47 cases the analysis was made in dynamics (in 92±42.1 min, on the average). Results: In the group of patients with false-positive PATE diagnosis we significantly more frequently observed angina-like chest pain and satisfactory condition at examination, ECG evidence for right heart overloading (the most significant marker SI-QIIP p=0.009) occurred less often, mean heart rate was significantly lower than in patients with verified PATE (85 ± 23,8 and 100±23,0 b/min, respectively; p = 0,007). Low probability of PATE by the RGS scale was stated in 37% patients from the group with false-positive diagnosis and only in 8% patients with a verified diagnosis of PATE (p = 0.0005). Conclusion: Prehospital PATE overdiagnosis can be explained by non-specificity of clinical and ECG picture of the disease in acute period. Application of the RGS scale is effective for objective assessment of the condition and accurate diagnosis.},
bibtype = {article},
author = {Ermolaev, A. A. and Plavunov, N. F. and Spiridonova, E. A. and Baratashvili, V. L. and Stazhadze, L. L.},
journal = {Terapevticheskii Arkhiv},
number = {4}
}
Downloads: 0
{"_id":"8ayCoYbYJzQzfvwDR","bibbaseid":"ermolaev-plavunov-spiridonova-baratashvili-stazhadze-pulmonaryarterythromboembolismfactorsofprehospitaloverdiagnosis-2012","authorIDs":["SNEJn8MPgXBDujBuL"],"author_short":["Ermolaev, A., A.","Plavunov, N., F.","Spiridonova, E., A.","Baratashvili, V., L.","Stazhadze, L., L."],"bibdata":{"title":"Pulmonary artery thromboembolism: Factors of prehospital overdiagnosis","type":"article","year":"2012","identifiers":"[object Object]","keywords":"Overdiagnosis,Prehospital setting,Pulmonary artery thromboembolism","pages":"17-22","volume":"84","websites":"https://elibrary.ru/item.asp?id=20155607,http://www.ncbi.nlm.nih.gov/pubmed/22774485","id":"6560609e-c891-3be0-98a2-f2eea9b6e3d0","created":"2020-09-03T09:55:36.254Z","file_attached":false,"profile_id":"8f80f9b8-2860-34d1-8129-337101945313","last_modified":"2020-09-16T14:59:59.663Z","read":false,"starred":"true","authored":"true","confirmed":false,"hidden":false,"folder_uuids":"3b6b3a51-3f12-405a-8390-afeab6608253,10cb8021-9e10-468e-b14d-4a626ad4a213","private_publication":false,"abstract":"Aim: Detection and analysis of factors of pulmonary artery thromboembolism (PATE) overdiagnosis in a prehospital setting. Material and methods: A total of 102 patients with prehospital diagnosis of PATE entered the study. Prehospital clinical and ECG picture was compared in groups of verified PATE (n=61) and rejected PATE (n=41). Clinical probability of PATE was assessed retrospectively according to Revised Geneva Score (RGS) scale. In 47 cases the analysis was made in dynamics (in 92±42.1 min, on the average). Results: In the group of patients with false-positive PATE diagnosis we significantly more frequently observed angina-like chest pain and satisfactory condition at examination, ECG evidence for right heart overloading (the most significant marker SI-QIIP p=0.009) occurred less often, mean heart rate was significantly lower than in patients with verified PATE (85 ± 23,8 and 100±23,0 b/min, respectively; p = 0,007). Low probability of PATE by the RGS scale was stated in 37% patients from the group with false-positive diagnosis and only in 8% patients with a verified diagnosis of PATE (p = 0.0005). Conclusion: Prehospital PATE overdiagnosis can be explained by non-specificity of clinical and ECG picture of the disease in acute period. Application of the RGS scale is effective for objective assessment of the condition and accurate diagnosis.","bibtype":"article","author":"Ermolaev, A. A. and Plavunov, N. F. and Spiridonova, E. A. and Baratashvili, V. L. and Stazhadze, L. L.","journal":"Terapevticheskii Arkhiv","number":"4","bibtex":"@article{\n title = {Pulmonary artery thromboembolism: Factors of prehospital overdiagnosis},\n type = {article},\n year = {2012},\n identifiers = {[object Object]},\n keywords = {Overdiagnosis,Prehospital setting,Pulmonary artery thromboembolism},\n pages = {17-22},\n volume = {84},\n websites = {https://elibrary.ru/item.asp?id=20155607,http://www.ncbi.nlm.nih.gov/pubmed/22774485},\n id = {6560609e-c891-3be0-98a2-f2eea9b6e3d0},\n created = {2020-09-03T09:55:36.254Z},\n file_attached = {false},\n profile_id = {8f80f9b8-2860-34d1-8129-337101945313},\n last_modified = {2020-09-16T14:59:59.663Z},\n read = {false},\n starred = {true},\n authored = {true},\n confirmed = {false},\n hidden = {false},\n folder_uuids = {3b6b3a51-3f12-405a-8390-afeab6608253,10cb8021-9e10-468e-b14d-4a626ad4a213},\n private_publication = {false},\n abstract = {Aim: Detection and analysis of factors of pulmonary artery thromboembolism (PATE) overdiagnosis in a prehospital setting. Material and methods: A total of 102 patients with prehospital diagnosis of PATE entered the study. Prehospital clinical and ECG picture was compared in groups of verified PATE (n=61) and rejected PATE (n=41). Clinical probability of PATE was assessed retrospectively according to Revised Geneva Score (RGS) scale. In 47 cases the analysis was made in dynamics (in 92±42.1 min, on the average). Results: In the group of patients with false-positive PATE diagnosis we significantly more frequently observed angina-like chest pain and satisfactory condition at examination, ECG evidence for right heart overloading (the most significant marker SI-QIIP p=0.009) occurred less often, mean heart rate was significantly lower than in patients with verified PATE (85 ± 23,8 and 100±23,0 b/min, respectively; p = 0,007). Low probability of PATE by the RGS scale was stated in 37% patients from the group with false-positive diagnosis and only in 8% patients with a verified diagnosis of PATE (p = 0.0005). Conclusion: Prehospital PATE overdiagnosis can be explained by non-specificity of clinical and ECG picture of the disease in acute period. Application of the RGS scale is effective for objective assessment of the condition and accurate diagnosis.},\n bibtype = {article},\n author = {Ermolaev, A. A. and Plavunov, N. F. and Spiridonova, E. A. and Baratashvili, V. L. and Stazhadze, L. L.},\n journal = {Terapevticheskii Arkhiv},\n number = {4}\n}","author_short":["Ermolaev, A., A.","Plavunov, N., F.","Spiridonova, E., A.","Baratashvili, V., L.","Stazhadze, L., L."],"urls":{"Website":"https://elibrary.ru/item.asp?id=20155607,http://www.ncbi.nlm.nih.gov/pubmed/22774485"},"bibbaseid":"ermolaev-plavunov-spiridonova-baratashvili-stazhadze-pulmonaryarterythromboembolismfactorsofprehospitaloverdiagnosis-2012","role":"author","keyword":["Overdiagnosis","Prehospital setting","Pulmonary artery thromboembolism"],"downloads":0},"bibtype":"article","creationDate":"2020-09-19T11:07:54.420Z","downloads":0,"keywords":["overdiagnosis","prehospital setting","pulmonary artery thromboembolism"],"search_terms":["pulmonary","artery","thromboembolism","factors","prehospital","overdiagnosis","ermolaev","plavunov","spiridonova","baratashvili","stazhadze"],"title":"Pulmonary artery thromboembolism: Factors of prehospital overdiagnosis","year":2012,"biburl":"https://api.zotero.org/users/6903986/collections/CCV543JP/items?key=jkHnzG87OsT1zNSVQezrLDFC&format=bibtex&limit=100","dataSources":["ZCCk8d5tuGh2ZnBaZ"]}