A new clinical model in pulmonary embolism and its correlation with V/P scan results

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dc.authoridCermik, Tevfik Fikret/0000-0001-7622-7277
dc.authoridTABAKOGLU, ERHAN/0000-0003-1315-4538
dc.authorwosid, osman/HRD-6024-2023
dc.authorwosidCermik, Tevfik Fikret/A-9694-2018
dc.authorwosid, Osman/AGR-7980-2022
dc.contributor.authorHatipoglu, Osman N.
dc.contributor.authorHanci, Emel
dc.contributor.authorTabakoglu, Erhan
dc.contributor.authorAltiay, Gundeniz
dc.contributor.authorCermik, Tevfik Fikret
dc.contributor.authorCaglar, Tuncay
dc.date.accessioned2024-06-12T10:56:38Z
dc.date.available2024-06-12T10:56:38Z
dc.date.issued2006
dc.departmentTrakya Üniversitesien_US
dc.description.abstractThe study was prospectively designed to assess the correlation between a new clinical model empirically developed for acute pulmonary embolism (PE) and ventilation/perfusion (V/P) scan results. One hundred sixty consecutive patients with suspected acute PE underwent clinical evaluation before V/P scintigraphy. The clinical probability of PE was categorized according to a structured clinical model empirically developed as low, intermediate, or high, and the results were compared with those of V/P scintigraphy. Forty, 61, and 59 patients were classified as low, intermediate, and high clinical probability, respectively. Seventy-five percent (30/40) of the patients with low clinical probability were also of low scintigraphic probability or had a normal result (r(s): 0.39, p=0.000); 28% (17/61) of the patients with intermediate clinical probability demonstrated intermediate scintigraphic probability (r(s): 0.20, p=0.012); and 68% (40/59) of the patients with high clinical probability were also of high scintigraphic probability (r(s): 0.43, p=0.000). Overall, the correlation of two scoring systems was statistically significant (r(s): 0.39, p=0.000). Unilateral leg swelling (p=0.027), syncope or near syncope (p=0.002), amputation of a hilar artery (p=0.007), and electrocardiographic signs of right ventricular overload (p=0.000) prevailed in patients with high scintigraphic probability. Syncope-near syncope or hemodynamic collapse PLUS electrocardiographic signs of right ventricular overload or hypoxemia combination had the most significant correlation with a high scintigraphic probability (r(s): 0.31; p=0.000). In conclusion, the new clinical model empirically developed was significantly successful to provide comparable results with V/P scan. This consistency was particularly prominent in patients with low or high clinical probability for PE.en_US
dc.identifier.doi10.1177/1076029606291399
dc.identifier.endpage351en_US
dc.identifier.issn1076-0296
dc.identifier.issn1938-2723
dc.identifier.issue3en_US
dc.identifier.pmid16959689en_US
dc.identifier.scopus2-s2.0-33748747603en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage344en_US
dc.identifier.urihttps://doi.org/10.1177/1076029606291399
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19871
dc.identifier.volume12en_US
dc.identifier.wosWOS:000239546000012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofClinical And Applied Thrombosis-Hemostasisen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectClinical Modelen_US
dc.subjectPulmonary Embolismen_US
dc.subjectVentilation/Perfusion Scanen_US
dc.subjectDiagnosisen_US
dc.titleA new clinical model in pulmonary embolism and its correlation with V/P scan resultsen_US
dc.typeArticleen_US

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