دورية أكاديمية
أعرض في EDS

[Current diagnosis of pulmonary embolism in Spain: ventilation-perfusion lung scan versus helical CT. Findings from the National Health Service and RIETE Registry].

التفاصيل البيبلوغرافية
العنوان: [Current diagnosis of pulmonary embolism in Spain: ventilation-perfusion lung scan versus helical CT. Findings from the National Health Service and RIETE Registry].
عنوان ترانسليتريتد: Gammagrafía pulmonar y tomografía computarizada helicoidal en el diagnóstico de embolia pulmonar en España. Datos del Sistema Nacional de Salud y el Registro RIETE.
المؤلفون: Montes-Santiago J; Servicio de Medicina Interna, Hospital do Meixoeiro-CHUVI, Vigo Pontevedra, Spain. julio.montes.santiago@sergas.es, Lado Castro-Rial M, Guijarro Merino R, San Román Terán CM, Fernández-Capitán C, García-Bragado F, Monreal M
مؤلفون مشاركون: Grupo RIETE
المصدر: Medicina clinica [Med Clin (Barc)] 2008 Apr 26; Vol. 130 (15), pp. 568-72.
نوع المنشور: Comparative Study; English Abstract; Journal Article
اللغة: Spanish; Castilian
بيانات الدورية: Publisher: Elsevier España Country of Publication: Spain NLM ID: 0376377 Publication Model: Print Cited Medium: Print ISSN: 0025-7753 (Print) Linking ISSN: 00257753 NLM ISO Abbreviation: Med Clin (Barc) Subsets: MEDLINE
أسماء مطبوعة: Publication: <2009- > : Madrid : Elsevier España
Original Publication: Barcelona : Ediciones Doyma, S.A.
مواضيع طبية MeSH: Tomography, Spiral Computed* , Ventilation-Perfusion Ratio*, Pulmonary Embolism/*diagnosis, Aged ; Female ; Humans ; Male ; Registries ; Spain
مستخلص: Background and Objective: To analyze the trends in the utilization of ventilation/perfusion pulmonary scintigraphy (V/QSc), spiral CT (sCT) and pulmonary angiography for diagnosis of pulmonary embolism (PE) in Spain, taking in account the information from the National System of Health (NSH) and RIETE Registry. To examine the diagnostic conformities of V/QSc and sCT in RIETE, with special reference to V/QSc of intermediate/indeterminate probability (V/QScIP).
Material and Method: We examined annual trends of diagnostic imaging for PE in 5,678 Spanish patients included in RIETE (period 2001-2005) and in those of the NHS Databases (1999-2003 period). In RIETE the agreement between diagnostics was compared in cases with both V/QSc and sCT and angiography and V/QSc or sCT.
Results: We observed an increasing trend in sTC use, which overcame to V/QSc in 2002 (RIETE) and 2003 (NHS). In 732 cases with both techniques there was a diagnostic conformity of 53%. In 116 cases with V/QScIP a concomitant sTC was + for PE in 87%. If clinical signs of PE were present, then sTC was + in 95% of cases. In 29 cases with sCT and angiography agreement was 83% and in 31 cases with angiography and V/QSc was 77%.
Conclusions: Nowadays in Spain the sTC is the most utilized method to diagnose EP. However, V/QSc studies are also broadly used. In studies V/QScIP it is advisable to look for deep venous thrombosis and, if present, the results of RIETE allow to assure EP coexistence in 87-95% of cases.
فهرسة مساهمة: Investigator: JI Arcelus; R Barba; A Blanco; M Barrón; J Bugés; I Casado; F Conget; F Del Molino; J Del Toro; F Epelde; C Falgá; C Fernández-Capitán; F Gabriel; P Gallego; F García-Bragado; R Guijarro; J Gutiérrez; MR Gutiérrez; L Hernández; D Jiménez; E Laserna; R Lecumberri; F López; L López; I López; A Maestre; JJ Martín-Villasclaras; M Monreal; J Montes; MD Naufall; JA Nieto; MJ Núñez; MT Orue; R Otero; J Portillo; R Rabuñal; P Román; N Ruiz-Giménez; JC Sahuquillo; AL Samperiz; JF Sánchez; R Sánchez; S Soler; G Tiberio; C Tolosa; J Trujillo; F Uresandi; M Valdés; R Valle; J Vela; X Llobet; P Mismetti; K Rivron-Guillot; P Di Micco; I Enea; A Ghirarduzzi; V Moretti; R Poggio; R Quintavalla; E Tiraferri; A Visonà
تواريخ الأحداث: Date Created: 20080509 Date Completed: 20081022 Latest Revision: 20190823
رمز التحديث: 20231215
DOI: 10.1157/13119977
PMID: 18462633
قاعدة البيانات: MEDLINE
الوصف
تدمد:0025-7753
DOI:10.1157/13119977