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The Scientific World Journal
Volume 2014 (2014), Article ID 470358, 5 pages
http://dx.doi.org/10.1155/2014/470358
Research Article

An Analysis of Patients That Underwent Computed Tomography Pulmonary Angiography with the Prediagnosis of Pulmonary Embolism in the Emergency Department

1Department of Emergency Medicine, Eskisehir Osmangazi University Medical Center, Meselik 26480, Eskisehir, Turkey
2Medical College and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates

Received 25 February 2014; Accepted 30 April 2014; Published 15 May 2014

Academic Editor: Ahmet Menteşe

Copyright © 2014 Engin Ozakin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. The purpose of this study is to analyze the frequency of other diagnoses and findings in patients that were diagnosed with or not diagnosed with PE following the CTPA in the ED and to analyze the relationship between diagnosis and D-dimer. Instrument and Method. This study involves all patients that presented to the ED that underwent CTPA with the prediagnosis of PE. The items considered in this study were their reason for presenting to the ED and pretest clinical risks for PE, D-dimer, and CTPA results. Findings. Of the 696 cases, the most common cause was shortness of breath (59.3%). The CTPA showed that 145 (20.83%) patients were suffering from PE. Among the remaining cases, 464 (66.66%) patients had pathological findings other than PE and 87 (12.5%) patients were reported as normal. The most common pathological results other than PE found in CTPA were atelectasis in 244 (39.9%) and ground glass in 165 (23.7%), as well as nonpulmonary results in 70 (10.05%) patients. The differences in D-dimer results of patients diagnosed with PE, patients diagnosed with another pathology, and patients with normal CTPA results were statistically significant ( ). Conclusion. CTPA scanning, performed on the basis of assessment scoring, helps in discovering other fatal pathologies in addition to PE.