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

doi:10.1136/thoraxjnl-2014-206689

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 journal › Article › peer-review

25 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 language	English
Pages (from-to)	909-911
Number of pages	3
Journal	Thorax
Volume	70
Issue number	9
DOIs	https://doi.org/10.1136/thoraxjnl-2014-206689
State	Published - 1 Sep 2015
Externally published	Yes

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title = "Computerised clinical decision support for suspected PE",

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).",

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AU - Jiménez, David

AU - Resano, Santiago

AU - Otero, Remedios

AU - Jurkojc, Carolina

AU - Portillo, Ana Karina

AU - Ruiz-Artacho, Pedro

AU - Corres, Jesús

AU - Vicente, Agustina

AU - Den Exter, Paul L.

AU - Huisman, Menno V.

AU - Moores, Lisa

AU - Yusen, Roger D.

PY - 2015/9/1

Y1 - 2015/9/1

N2 - 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).

AB - 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).

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Computerised clinical decision support for suspected PE

Abstract

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