TITLE:
Prediction of Pretest Probability Scoring Systems in Pulmonary Embolism: Wells, Kline and Geneva
AUTHORS:
Engin Deniz Arslan, Suveyda Aksakalli Yesilaras, Cemil Kavalci, Seyran Bozkurt, Fevzi Yilmaz, Tamer Durdu, M. Evvah Karakilic, Gulsum Kavalci
KEYWORDS:
Pulmonary Embolism; Wells; Geneva, Kline; Emergency Department
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.3 No.7A,
January
2,
2013
ABSTRACT: Pulmonary embolism (PE) is a clinical
entity with high mortality rate and therefore rapid diagnosis is necessary. For
this purpose many diagnostic strategies have been developed for avoiding or
necessitating further investigations. The hallmark of these strategies is
assessing the pretest clinic probability of PE. In this study, the
effectiveness of Wells, Geneva
and Kline methods were investigated in a university hospital emergency
department. 74 patients were enrolled in this study. The inter-group
differences in scoring systems were significant for Wells and Kline but
non-significant for Geneva
method. The diagnosis of PE was correlated with Wells and Kline system but Geneva system lacked it.
The Receiver Operating Characteristic analyses was performed for comparing the
pretest clinical probability scoring systems and the greatest area under the
curve was found in Wells system. Wells method seems more useful compared to Geneva and Kline methods
particularly in emergency department.