Clinical decision rules for PE coagulate into meta-mishmash
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Lucassen et al sharpened their pencils and tried to combine in a meta-analysis 52 studies (n=55,268) that examined the success of methods of using "gestalt" (subjective impression) or clinical decision rules (Wells, Geneva or revised Geneva scores) to diagnose acute pulmonary embolism. The punchline (and their unstated but implied conclusion) is, we just can't safely use these clinical decision rules for any patient above low-probability for a pulmonary embolism. There are so many limitations to concluding anything more than that from these trials, or this analysis.
Clinical decision rules for PE coagulate into meta-mishmash
Clinical decision rules for PE coagulate into…
Clinical decision rules for PE coagulate into meta-mishmash
Lucassen et al sharpened their pencils and tried to combine in a meta-analysis 52 studies (n=55,268) that examined the success of methods of using "gestalt" (subjective impression) or clinical decision rules (Wells, Geneva or revised Geneva scores) to diagnose acute pulmonary embolism. The punchline (and their unstated but implied conclusion) is, we just can't safely use these clinical decision rules for any patient above low-probability for a pulmonary embolism. There are so many limitations to concluding anything more than that from these trials, or this analysis.