[Compliance with consensus 'Diagnosis pulmonary embolism' in clinical practice].
OBJECTIVE
Evaluation of clinical management in patients suspected of pulmonary embolism as compared with the Dutch consensus for diagnosing pulmonary embolism.


METHODS
Retrospective.


METHODS
Medical Centre Alkmaar.


METHODS
Retrospective analysis of clinical management in patients subjected to ventilation-perfusion scintigraphy on suspicion of pulmonary embolism.


RESULTS
In 55 (24%) of the 225 patients included a high-probability scan was found, in 68 (30%) a non-high-probability scan and in 102 (45%) a normal scan. The clinical management in all patients with a normal or high-probability scan was according to the consensus. In the 68 patients with a non-high-probability scan the consensus was completely followed in 16%, partially in 18% and not at all in 66%.


CONCLUSIONS
Clinical management of patients with a non-high-probability scan in the vast majority of cases was not according to the consensus. The consensus was followed in all patients with a normal or high-probability scan.
Afd. Nucleaire Geneeskunde, Medisch Centrum, Alkmaar.
F M
FM
van der Zant
R O
RO
Boer
J D
JD
Kooy
J H
JH
van den Bergh
M M
MM
Tiel-van Buul
E A
EA
van Royen
D000925:Anticoagulants / Q000627:therapeutic use; D002985:Clinical Protocols; D006801:Humans; D011237:Predictive Value of Tests; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000503:physiopathology; D011877:Radionuclide Imaging; D012189:Retrospective Studies; D013924:Thrombophlebitis / Q000000981:diagnostic imaging; D014463:Ultrasonography; D014692:Ventilation-Perfusion Ratio
D000925:Anticoagulants
De uitvoering van de consensus 'Diagnostiek longembolie' in de praktijk.