Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Gruettner, J; Walter, T; Lang, S; Meyer, M; Apfaltrer, P; Henzler, T; Viergutz, T.
Importance of Wells score and Geneva score for the evaluation of patients suspected of pulmonary embolism.
In Vivo. 2015; 29(2): 269-272.
Web of Science
PubMed
- Co-Autor*innen der Med Uni Graz
- Apfaltrer Paul
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- Abstract:
- The European Society of Cardiology guidelines for pulmonary embolism (PE) published in 2008 and updated in 2014 recommend a risk stratification including risk scores like Wells and the Geneva score. The utility and practicability of these scores are controversially discussed. Recently, in a trauma cohort and in spinal surgery patients, no correlation between Wells Score and PE diagnosis was found. The aim of the study was the evaluation of Wells and Geneva scores in patients presenting with chest pain, dyspnoea or syncope in an emergency department. We retrospectively examined 326 patients suspected of PE, including assessment, according to Wells and Geneva scores. PE was detected in 13.5 %. The average Wells score was 1.0, the average Geneva score 3.9. The receiver operating characteristic (ROC) curve analyses showed for both scores a high significant area under the curve (Wells score 0.68; Geneva score 0.64). The association between the scores and the diagnosis of PE was calculated with logistic regression analysis and showed high significant odds ratios (OR) for both scores (Wells score 1.38; Geneva score 1.24). There was no significant difference between the area under the curve (AUC) of Wells score and Geneva score. The utility of Wells and Geneva scores for the evaluation of patients suspected of PE in an emergency patient cohort. Copyright © 2015 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Aged, 80 and over -
- Blood Pressure -
- Emergency Service, Hospital -
- Female -
- Fibrin Fibrinogen Degradation Products -
- Heart Rate -
- Humans -
- Male -
- Middle Aged -
- Odds Ratio -
- Pulmonary Embolism - blood
- Pulmonary Embolism - diagnosis
- Pulmonary Embolism - therapy
- ROC Curve -
- Retrospective Studies -
- Tomography, X-Ray Computed -
- Young Adult -
- Find related publications in this database (Keywords)
- Pulmonary embolism
- Wells score
- Geneva score
- emergency department