Computerised clinical decision support for suspected PE. Issue 9 (9th February 2015)

• Record Type: Journal Article
• Authors: Jiménez, David; Resano, Santiago; Otero, Remedios; Jurkojc, Carolina; Portillo, Ana Karina; Ruiz-Artacho, Pedro; Corres, Jesús; Vicente, Agustina; den Exter, Paul L; Huisman, Menno V; Moores, Lisa; Yusen, Roger D
• Other Names: author non-byline.; Arrieta P author non-byline.; Barrios D author non-byline.; Castillo H author non-byline.; Castro P author non-byline.; Gómez V author non-byline.; Gotera C author non-byline.; Ibáñez D author non-byline.; Jurkok C author non-byline.; Kopecna D author non-byline.; Lazo P author non-byline.; Lietor A author non-byline.; Mirambeaux R author non-byline.; Moreno C author non-byline.; Muriel A author non-byline.; Navas JJ author non-byline.; Nieto R author non-byline.; Del Rey JM author non-byline.; Sueiro A author non-byline.; Vicente A author non-byline.
• Is Part Of: Thorax. Volume 70:Issue 9(2015)
• Page Start: 909
• Page End: 911
• Publication Date: 2015-02-09
• Subjects: Pulmonary Embolism; Chest -- Diseases -- Periodicals; Thorax; Chest -- Diseases; Periodicals; Periodicals; 617.54
• DOI: 10.1136/thoraxjnl-2014-206689
• Languages: English
• ISSNs: 0040-6376

Abstract

Abstract : This study aimed to determine the effect of an evidence-based 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%; p<0.01).