Diagnostic algorithm / diagnostisch algoritme Pulmonary embolism / longembolie
Conditions
Interventions
A prospective multi-center management registration of consecutive patients with suspected (recurrent) PE. Participants will be evaluated according to the YEARS algorithm consisting of three items of t
g/mL, and in patients with ≥
1 items and a D-dimer level <0.5 μ
g/mL a PE is excluded without CTPA. In the other patients a CTPA will be performed. All patients will be followed for a period of 3 months.
Sponsors
Leiden University Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: Consecutive patients with suspected (recurrent) PE.
Exclusion criteria
Exclusion criteria: -life expectancy <3 months - treatment with full-dose therapeutic low molecular weight heparin or unfractionated heparin that was initiated 24 hours or more prior to eligibility assessment - treatment with vitamin K antagonists (coumarin derivates) - contraindication to helical CT.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| (recurrent) PE, DVT | — |
Secondary
| Measure | Time frame |
|---|---|
| mortality, number of performed CTPA. | — |
Contacts
Public ContactTom Hulle, van der
Department of Thrombosis and Haemostasis Leiden University Medical Center Albinusdreef 2, P.O Box 9600
Outcome results
None listed