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Text
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<a href="http://doi.org/10.1016/j.ajem.2018.07.043" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2018.07.043</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
810-816
Issue
5
Volume
37
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Variation in diagnostic testing for older patients with syncope in the emergency department
Publisher
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American Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-05
Subject
The topic of the resource
Cost; Diagnostic testing; Emergency department; Near syncope; Syncope; Variation; Yield
Creator
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Su Erica; Nicks Bret A; Shah Manish N; Adler David H; Bastani Aveh; Caterino Jeffrey M; Clark Carol L; Diercks Deborah B; Hollander Judd E; Malveau Susan E; Nishijima Daniel K; Stiffler Kirk A; Storrow Alan B; Wilber Scott T; Yagapen Annick N; Weiss Robert E; Gibson Thomas A; Baugh Christopher W; Sun Benjamin C
Description
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Background Older adults presenting with syncope often undergo intensive diagnostic testing with unclear benefit. We determined the variation, frequency, yield, and costs of tests obtained to evaluate older persons with syncope.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2018.07.043" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2018.07.043</a>
2019
Adler David H
American Journal of Emergency Medicine
Bastani Aveh
Baugh Christopher W
Caterino Jeffrey M
Clark Carol L
Cost
Department of Emergency Medicine
diagnostic testing
Diercks Deborah B
Emergency department
Gibson Thomas A
Hollander Judd E
June 2019 Update
Malveau Susan E
Near syncope
NEOMED College of Medicine
Nicks Bret A
Nishijima Daniel K
Shah Manish N
Stiffler Kirk A
Storrow Alan B
Su Erica
Sun Benjamin C
Syncope
Variation
Weiss Robert E
Wilber Scott T
Yagapen Annick N
Yield
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.annemergmed.2018.12.005" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.annemergmed.2018.12.005</a>
Pages
500–510
Issue
5
Volume
73
ISSN
0196-0644
Search for Full-text
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<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Prevalence of Pulmonary Embolism Among Emergency Department Patients With Syncope: A Multicenter Prospective Cohort Study
Publisher
An entity responsible for making the resource available
Annals of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-05
Subject
The topic of the resource
Emergency Medicine; guidelines; diagnostic-tests; yield; risk-stratification; short-term
Creator
An entity primarily responsible for making the resource
Thiruganasambandamoorthy V; Sivilotti M L A; Rowe B H; McRae A D; Mukarram M; Malveau S; Yagapen A N; Sun B C; Nemnom M J; Huang L; Taljaard M; Gaudet S; Kim S M; Adler D H; Bastani A; Baugh C W; Caterino J M; Clark C L; Diercks D B; Hollander J E; Nicks B A; Nishijima D K; Shah M N; Stiffler K A; Wilber S T; Storrow A B; North Amer Syncope Consortium
Description
An account of the resource
Study objective: The prevalence of pulmonary embolism among patients with syncope is understudied. In accordance with a recent study with an exceptionally high pulmonary embolism prevalence, some advocate evaluating all syncope patients for pulmonary embolism, including those with another clear cause for their syncope. We seek to evaluate the pulmonary embolism prevalence among emergency department (ED) patients with syncope. Methods: We combined data from 2 large prospective studies enrolling adults with syncope from 17 EDs in Canada and the United States. Each study collected the results of pulmonary embolism-related investigations (ie, D-dimer, ventilation-perfusion scan, or computed tomography [CT] pulmonary angiography) and 30-day adjudicated outcomes: pulmonary embolism or nonpulmonary embolism outcome (arrhythmia, myocardial infarction, serious hemorrhage, and death). Results: Of the 9,374 patients enrolled, 9,091 (97.0%; median age 66 years, 51.9% women) with 30-day follow-up were analyzed: 547 (6.0%) were evaluated for pulmonary embolism (278 [3.1%] had D-dimer, 39 [0.4%] had ventilation-perfusion scan, and 347 [3.8%] had CT pulmonary angiography). Overall, 874 patients (9.6%) experienced 30-day serious outcomes: 818 patients (9.0%) with nonpulmonary embolism serious outcomes and 56 (prevalence 0.6%; 95% confidence interval 0.5% to 0.8%) with pulmonary embolism (including 8 [0.2%] out of 3521 patients diagnosed during the index hospitalization and 7 [0.1%] diagnosed after the index visit). Eighty-six patients (0.9%) died, and 4 deaths (0.04%) were related to pulmonary embolism. Only 11 patients (0.1%) with a nonpulmonary embolism serious condition had a concomitant pulmonary embolism. Conclusion: The prevalence of pulmonary embolism is very low among ED patients with syncope, including those hospitalized after syncope. Although an underlying pulmonary embolism may cause syncope, clinicians should be cautious about indiscriminate investigations for pulmonary embolism.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.annemergmed.2018.12.005" target="_blank" rel="noreferrer noopener">10.1016/j.annemergmed.2018.12.005</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2019
Adler D H
Annals of emergency medicine
Bastani A
Baugh C W
Caterino J M
Clark C L
Department of Emergency Medicine
diagnostic-tests
Diercks D B
Emergency Medicine
Gaudet S
guidelines
Hollander J E
Huang L
June 2019 Update
Kim S M
Malveau S
McRae A D
Mukarram M
Nemnom M J
NEOMED College of Medicine
Nicks B A
Nishijima D K
North Amer Syncope Consortium
risk-stratification
Rowe B H
Shah M N
short-term
Sivilotti M L A
Stiffler K A
Storrow A B
Sun B C
Taljaard M
Thiruganasambandamoorthy V
Wilber S T
Yagapen A N
Yield