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Screen COPD patients with worsening lung function for pulmonary embolism?

Journal
JAMA
Reuters Health - 05/01/2021 - About 6% of patients with chronic obstructive pulmonary disease (COPD) who are admitted to the hospital with worsening respiratory symptoms will have pulmonary embolism, new research from France suggests. How often pulmonary embolism occurs in this patient population remains unclear, Dr. Francis Couturaud from Cavale Blanche Hospital, in Brest, and colleagues note in JAMA. To investigate, they did a cross-sectional study of 740 consecutive COPD patients admitted to seven French hospitals for deteriorating respiratory function. Their mean age was 68.2 years and 37% were women. All patients were systematically screened for pulmonary embolism using a predefined pulmonary embolism diagnostic algorithm based on Geneva score, D-dimer levels, and spiral computed tomographic pulmonary angiography plus leg compression ultrasound. Among all 740 patients, 44 (5.9%) had pulmonary embolism confirmed within 48 hours of admission. An add...


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