YEARS clinical decision rule for diagnosing pulmonary embolism: a prospective diagnostic cohort follow-up study in primary care
Our study suggests that acute PE can be safely ruled out in 80% of patients by the YEARS algorithm in a primary care setting, while only 20% of patients required referral to hospital care for imaging tests. In those classified as 'imaging needed', PE was present in about one in every four patients, demonstrating a high detection proportion.
Authors
- Menno V. Huisman (ORCID: https://orcid.org/0000-0003-1423-5348)
- Melchior C. Nierman (ORCID: https://orcid.org/0000-0002-8647-7509)
- Frans Hendrik Rutten (ORCID: https://orcid.org/0000-0002-5052-7332)
- Geert‐Jan Geersing (ORCID: https://orcid.org/0000-0001-6976-9844)
- Hannah M la Roi-Teeuw (ORCID: https://orcid.org/0000-0002-1303-8142)
- T Egbers
- Frederikus Albertus Klok (ORCID: https://orcid.org/0000-0001-9961-0754)
- Rosanne van Maanen (ORCID: https://orcid.org/0000-0002-4981-692X)
- Jeanet W. Blom (ORCID: https://orcid.org/0000-0001-9989-4937)
- Karel G. M. Moons (ORCID: https://orcid.org/0009-0004-7797-1056)
Institutions
- Utrecht University (NL)
- Johannes Gutenberg University Mainz (DE)
- Leiden University Medical Center (NL)
- University Medical Center Utrecht (NL)
- University Medical Center of the Johannes Gutenberg University Mainz (DE)
Publication Details
- Journal
- BMJ Open
- Published
- 2025-02-01
- DOI
- https://doi.org/10.1136/bmjopen-2024-091543
- Citations
- 3
- Primary Topic
- Venous Thromboembolism Diagnosis and Management
- Type
- article
- Field-Weighted Citation Impact
- 5.61
Funders
- Pfizer
- ZonMw
- LEO Pharma