Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism. Issue 8 (August 2019)

• Record Type: Journal Article
• Authors: van der Pol, Liselotte M.; Tromeur, Cecile; Bistervels, Ingrid M.; Ni Ainle, Fionnuala; van Bemmel, Thomas; Bertoletti, Laurent; Couturaud, Francis; van Dooren, Yordi P. A.; Elias, Antoine; Faber, Laura M.; Hofstee, Herman M. A.; van der Hulle, Tom; Kruip, Marieke J. H. A.; Maignan, Maxime; Mairuhu, Albert T. A.; Middeldorp, Saskia; Nijkeuter, Mathilde; Roy, Pierre-Marie; Sanchez, Olivier; Schmidt, Jeannot; ten Wolde, Marije; Klok, Frederikus A.; Huisman, Menno V.
• Is Part Of: Obstetrical & gynecological survey. Volume 74:Issue 8(2019)
• Publication Date: 2019-08
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Generative organs, Female -- Surgery -- Periodicals; 618
• DOI: 10.1097/01.ogx.0000577816.58861.db
• Languages: English
• ISSNs: 0029-7828

Abstract

Abstract : (Abstracted from N Engl J Med 2019;380:1139–1149) Acute pulmonary embolism is one of the leading causes of maternal death, with the overall incidence reported to be 1.72 cases per 1000 deliveries, accounting for approximately 1 death in every 100, 000 deliveries. Since the D-dimer test has low specificity and sensitivity, it is common for pregnant women with suspected pulmonary embolism to undergo computed tomography (CT) pulmonary angiography or ventilation-perfusion (V/Q) scanning, both of which involve radiation exposure to the mother and fetus.