PMID- 12857043
OWN - NLM
STAT- MEDLINE
DCOM- 20031023
LR  - 20190605
IS  - 0918-2918 (Print)
IS  - 0918-2918 (Linking)
VI  - 42
IP  - 6
DP  - 2003 Jun
TI  - Recent developments in diagnostic imaging techniques and management for acute 
      pulmonary embolism: multicenter registry by the Japanese Society of Pulmonary 
      Embolism Research.
PG  - 470-6
AB  - OBJECTIVE: There are many reports on the diagnosis and management of acute 
      pulmonary embolism (APE), but there have been no investigations concerning the 
      actual conditions in which recent developments in diagnostic imaging techniques 
      and therapies have been applied in clinical practice. The present study was 
      designed to investigate the changes in diagnostic imaging techniques and 
      therapies for APE. METHODS AND PATIENTS: Three hundred and nine APE patients 
      diagnosed during January 1994-October 1997 (Group 1) were compared with 257 APE 
      patients diagnosed during November 1997-October 2000 (Group 2) in terms of the 
      diagnostic imaging techniques and therapies for APE. RESULTS: Compared with Group 
      1, pulmonary angiography and contrast-enhanced computed tomography were more 
      frequently performed for diagnosis in Group 2 [45.3% vs 56.8% (p = 0.0069) and 
      13.9% vs 57.6% (p < 0.0001), respectively]. Heparin and vena cava filter were 
      used more often in Group 2 [74.4% vs 82.1% (p = 0.033) and 18.4% vs 33.9% (p < 
      0.0001), respectively]. The frequency of thrombolytic therapy was unchanged 
      between the two groups. Warfarin use in discharged patients increased from 71.9% 
      to 83.8% (p = 0.0022). However, the examination rates for deep vein thrombosis 
      (DVT) were low (60.8% in Group 1 and 65.4% in Group 2, p = 0.29) and unchanged 
      using any imaging techniques. CONCLUSION: The diagnostic imaging techniques for 
      APE increased in variety and the management has improved, while the diagnosis for 
      DVT remains unchanged.
FAU - Sakuma, Masahito
AU  - Sakuma M
AD  - Department of Cardiovascular Medicine, Tohoku University Graduate School of 
      Medicine, Sendai.
FAU - Okada, Osamu
AU  - Okada O
FAU - Nakamura, Mashio
AU  - Nakamura M
FAU - Nakanishi, Norifumi
AU  - Nakanishi N
FAU - Miyahara, Yoshiyuki
AU  - Miyahara Y
FAU - Yamada, Norikazu
AU  - Yamada N
FAU - Fujioka, Hirofumi
AU  - Fujioka H
FAU - Kuriyama, Takayuki
AU  - Kuriyama T
FAU - Kunieda, Takeyoshi
AU  - Kunieda T
FAU - Sugimoto, Tsuneaki
AU  - Sugimoto T
FAU - Nakano, Takeshi
AU  - Nakano T
FAU - Shirato, Kunio
AU  - Shirato K
CN  - Japanese Society of Pulmonary Embolism Research
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Japan
TA  - Intern Med
JT  - Internal medicine (Tokyo, Japan)
JID - 9204241
RN  - 0 (Contrast Media)
SB  - IM
MH  - Acute Disease
MH  - Aged
MH  - Aged, 80 and over
MH  - Angiography
MH  - Cohort Studies
MH  - Contrast Media
MH  - Diagnostic Imaging/standards/*statistics & numerical data/trends
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Japan
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Probability
MH  - Pulmonary Embolism/*diagnosis/mortality/*therapy
MH  - *Radiographic Image Enhancement
MH  - Registries
MH  - Research
MH  - Risk Assessment
MH  - Severity of Illness Index
MH  - Survival Rate
MH  - Thrombolytic Therapy/methods
MH  - Tomography, X-Ray Computed/methods
MH  - Treatment Outcome
MH  - Vena Cava Filters
EDAT- 2003/07/15 05:00
MHDA- 2003/10/24 05:00
CRDT- 2003/07/15 05:00
PHST- 2003/07/15 05:00 [pubmed]
PHST- 2003/10/24 05:00 [medline]
PHST- 2003/07/15 05:00 [entrez]
AID - 10.2169/internalmedicine.42.470 [doi]
PST - ppublish
SO  - Intern Med. 2003 Jun;42(6):470-6. doi: 10.2169/internalmedicine.42.470.