Comparing ‘clinical hunch’ against clinical decision support systems (PERC rule, wells score, revised Geneva score and YEARS criteria) in the diagnosis of acute pulmonary embolism

• Published in: BMC pulmonary medicine Vol. 22; no. 1; pp. 1 - 7
• Main Authors: Medson, Koshiar, Yu, Jimmy, Liwenborg, Lovisa, Lindholm, Peter, Westerlund, Eli
• Format: Journal Article
• Language: English
• Published: London BioMed Central Ltd 21.11.2022; BioMed Central; BMC
• Subjects: Algorithms; Clinical decision making; Clinical decision support systems; CTPA; Decision support systems; Diagnosis; Diagnostics; Dyspnea; Electronic medical records; Embolism; Emergency medical care; Evidence-based medicine; Medical protocols; Medical research; Medicine, Experimental; Mortality; Patients; PERC rule; Pulmonary embolism; Pulmonary embolisms; Pulmonology; Radiation; Wells score; Sweden; Europe

Background Pulmonary embolism (PE) is a common and potentially life-threatening condition. Since it is considered a 'do not miss' diagnosis, PE tends to be over-investigated beyond the evidence-based clinical decision support systems (CDSS), which in turn subjects patients to unnecessary r...