Computerised clinical decision support for suspected PE

David Jiménez*, Santiago Resano, Remedios Otero, Carolina Jurkojc, Ana Karina Portillo, Pedro Ruiz-Artacho, Jesús Corres, Agustina Vicente, Paul L. Den Exter, Menno V. Huisman, Lisa Moores, Roger D. Yusen

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

This study aimed to determine the effect of an evidencebased clinical decision support (CDS) algorithm on the use and yield of CT pulmonary angiography (CTPA) and on outcomes of patients evaluated in the emergency department (ED) for suspected PE. The study included 1363 consecutive patients evaluated for suspected PE in an ED during 12 months before and 12 months after initiation of CDS use. Introduction of CDS was associated with decreased CTPA use (55% vs 49%; absolute difference (AD), 6.3%; 95% CI 1.0% to 11.6%; p=0.02). The use of CDS was associated with fewer symptomatic venous thromboembolic events during follow-up in patients with an initial negative diagnostic evaluation for PE (0.7% vs 3.2%; AD 2.5%; 95% CI 0.9% to 4.6%; p0.01).

Original languageEnglish
Pages (from-to)909-911
Number of pages3
JournalThorax
Volume70
Issue number9
DOIs
StatePublished - 1 Sep 2015
Externally publishedYes

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