Evaluation of CTPA interpreted as limited in pregnant patients suspected for pulmonary embolism

AbstractPurposeThe purpose of this study is to determine the rates of CT pulmonary angiography (CTPA) interpreted as limited and severely limited in pregnant patients suspected for pulmonary embolism (PE), and to evaluate factors that influence these rates.MethodsThis is a retrospective study with CTPA for evaluation of PE in pregnancy across a large health system from 2006 to 2017. CTPA was classified as limited from the radiology report with a subset of those studies classified as severely limited. Bivariate and multivariate analysis was performed for limited and severely limited rates with maternal age and patient size as a continuous variable and race, trimester, patient location study priority status, and result of chest radiograph before CTPA as categorical variables.Results874 patients with 33% of studies limited and 4% of studies severely limited. Multivariate logistic regression of CTPA studies revealed decreasing patient age (OR 0.967,p = 0.0129) and increasing patient size (OR 1.013,p 
Source: Emergency Radiology - Category: Emergency Medicine Source Type: research

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Authors: Sucker C Abstract Venous thromboembolisms and pulmonary embolisms are one of the main causes of morbidity and mortality in pregnancy. The increased risk of thrombotic events caused by the physiological changes during pregnancy alone does not justify any medical antithrombotic prophylaxis. However, if there are also other risk factors such as a history of thromboses, hormonal stimulation as part of fertility treatment, thrombophilia, increased age of the pregnant woman, severe obesity or predisposing concomitant illnesses, the risk of thrombosis should be re-evaluated - if possible by a coagulation speciali...
Source: Geburtshilfe und Frauenheilkunde - Category: OBGYN Tags: Geburtshilfe Frauenheilkd Source Type: research
PERIPARTUM CARDIAC complications account for 41% of all maternal deaths in the United States.1 In parturients with cardiogenic shock from peripartum cardiomyopathy, amniotic fluid embolism, and pulmonary emboli, mechanical circulatory support (MCS) devices are increasingly used. Such devices include intra-aortic balloon pumps (IABP), veno-venous and veno-arterial extracorporeal membrane oxygenation (ECMO), left ventricular assist devices, and paracorporeal ventricular assist devices (PVAD).2-4 Respiratory syndromes exacerbated by pregnancy, such as influenza-induced acute respiratory distress syndrome, are also potentially...
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Original Research Source Type: research
The optimal approach to diagnosing pulmonary embolism (PE) in pregnancy is uncertain. Two studies published in the last year (Righini and YEARS) have recommended using D-dimer as an initial screening tool. In the Righini protocol, this was followed by compression ultrasound (CUS), CT pulmonary angiography (CTPA) and ventilation-perfusion scan (V/Q) as needed. The aim of this study was to determine which strategy for diagnosis of PE is least costly in pregnant women presenting with clinically suspected PE and a low-intermediate probability revised Geneva score.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Poster Session V Source Type: research
By YOLONDA Y. WILSON, PhD Last week a nurse posted a video of herself on Twitter mocking patients with the caption “We know when y’all are faking” followed by laughing emojis. Twitter responded with the hashtag #patientsarenotfaking, created by Imani Barbarin, and a slew of testimonials of negligent medical care. While the nurse’s video was not explicitly racialized, plenty in the black community felt a particular sting: there is clear evidence that this attitude contributes to the problem of black patients receiving substandard care, and that negative behavioral traits&n...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Medical Practice Patients racial bias The OpEd Project Yolonda Wilson Source Type: blogs
Conditions:   Pulmonary Embolism;   Pregnancy Related;   Venous Thromboembolism Intervention:   Diagnostic Test: OPTICA CTPA Protocol Sponsors:   University College Dublin;   Mater Misericordiae University Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pulmonary Embolism;   Pregnancy Related;   Venous Thromboembolism Intervention:   Diagnostic Test: OPTICA CTPA Protocol Sponsors:   University College Dublin;   Mater Misericordiae University Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pulmonary Embolism;   Pregnancy Related;   Venous Thromboembolism Intervention:   Diagnostic Test: OPTICA CTPA Protocol Sponsors:   University College Dublin;   Mater Misericordiae University Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pulmonary Embolism;   Pregnancy Related;   Venous Thromboembolism Intervention:   Diagnostic Test: OPTICA CTPA Protocol Sponsors:   University College Dublin;   Mater Misericordiae University Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pulmonary Embolism;   Pregnancy Related;   Venous Thromboembolism Intervention:   Diagnostic Test: OPTICA CTPA Protocol Sponsors:   University College Dublin;   Mater Misericordiae University Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pulmonary Embolism;   Pregnancy Related;   Venous Thromboembolism Intervention:   Diagnostic Test: OPTICA CTPA Protocol Sponsors:   University College Dublin;   Mater Misericordiae University Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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