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Comparison of the Wells score with the revised Geneva score for assessing pretest probability of pulmonary embolism in hospitalized elderly patients

  • Author Footnotes
    1 These authors contributed equally to this work.
    Yuxia Ma
    Correspondence
    Correspondence to: Y. Ma, Department of Internal Medicine, Cangzhou Central Hospital, 16 Xinhua West Road, Cangzhou 061001, China.
    Footnotes
    1 These authors contributed equally to this work.
    Affiliations
    Department of Internal Medicine, Cangzhou Central Hospital, Cangzhou, China
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  • Author Footnotes
    1 These authors contributed equally to this work.
    Jiale Huang
    Footnotes
    1 These authors contributed equally to this work.
    Affiliations
    Department of Cardiology, East Hospital, Tongji University School of Medicine, Shanghai, China
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  • Author Footnotes
    1 These authors contributed equally to this work.
    Yuliang Wang
    Footnotes
    1 These authors contributed equally to this work.
    Affiliations
    Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China
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  • Tongwei Wu
    Affiliations
    Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China
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  • Danxian Cai
    Affiliations
    Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China
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  • Yanna Liu
    Affiliations
    Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China
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  • Qijing Wu
    Affiliations
    Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China
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  • Jialiang Hui
    Affiliations
    Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China
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  • Yan Shi
    Correspondence
    Correspondence to: Y. Shi, The Affiliated Huai'an Hospital of Xuzhou Medical University, China.
    Affiliations
    Department of Emergency, The Affiliated Huai'an Hospital of Xuzhou Medical University, Huai'an, China

    Department of Emergency, The Second People's Hospital of Huai'an, Huai'an, China
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  • Author Footnotes
    1 These authors contributed equally to this work.
Published:September 17, 2016DOI:https://doi.org/10.1016/j.ejim.2016.09.003
      With variable and nonspecific clinical manifestations [
      ], pulmonary embolism (PE) is associated with a mortality of approximately 30% and may cause sudden death within a few hours [
      • Di Marca S.
      • Cilia C.
      • Campagna A.
      • D'Arrigo G.
      • ElHafeez S.A.
      • Tripepi G.
      • et al.
      Comparison of wells and revised Geneva rule to assess pretest probability of pulmonary embolism in high-risk hospitalized elderly adults.
      ]. Therefore, diagnosis is challenging for clinicians as only 10–15% of patients underwent computer tomography pulmonary angiography (CTPA) were actually diagnosed as having the condition, which unavoidably leads to unnecessary and expensive investigations and adds their associated risks. Contrarily, in many rural hospitals of China, the CTPA cannot be performed for patients with suspected PE because of the lack of devices.

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