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Pulmonary embolism

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Investigations

Arterial blood gas a

Note:

  • Arterial blood gases are unhelpful in diagnosing or excluding PE, a but can help rule out other conditions. a

Arterial blood gases are unhelpful in diagnosing or excluding PE
Patient Target Disorder and
Reference Standard
Diagnostic Test LR+
(95% CI)
Post-test Probability LR-
(95% CI)
Post-test Probability
suspected PE a
(pre-test probability: 36%)
pulmonary embolism
(angiography)
pO2 80 mmHg or more (10.2 kPa) 1.1
(0.98 to 1.1)
37% 0.82
(0.61 to 1.1)
32%
    pCO2 35 mmHg or more (4.5 kPa) 1.0
(0.89 to 1.2)
37% 0.97
(0.83 to 1.1)
35%

 

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   B   Lee
CAT Writers   CM   Ball, C Wotton, M Hayatli