Diferencia entre revisiones de «Template:PERC rule»
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| Línea 6: | Línea 6: | ||
*HR <100 | *HR <100 | ||
*No prior PE or DVT | *No prior PE or DVT | ||
*No recent surgery or trauma (within prior 4wk) | *No recent surgery or trauma (within prior 4wk, requiring general anesthesia) | ||
*No hemoptysis | *No hemoptysis | ||
*No | *No hormonal use (oral contraceptives, hormone replacement, or estrogenic hormone use in male or female patients) | ||
*No unilateral leg swelling | *No unilateral leg swelling | ||
In patients with low suspicion for [[PE]] (best-guess pre-test probability <15%) AND all are true, only 0.9% had [[PE]] (n=7527) and it can be ruled-out without further testing (i.e. no need for d-dimer)<ref>Kline JA, et al. Clinical criteria to prevent unnecessary diagnostic testing in emergency department patients with suspected pulmonary embolism. J Thromb Haemost 2004; 2: 1247–55.</ref><ref>Kline JA, et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria. J Thromb Haemost 2008; 6: 772–80. (PMID: 18318689).</ref> | In patients with low suspicion for [[PE]] (best-guess pre-test probability <15%) AND all are true, only 0.9% had [[PE]] (n=7527) and it can be ruled-out without further testing (i.e. no need for d-dimer)<ref>Kline JA, et al. Clinical criteria to prevent unnecessary diagnostic testing in emergency department patients with suspected pulmonary embolism. J Thromb Haemost 2004; 2: 1247–55.</ref><ref>Kline JA, et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria. J Thromb Haemost 2008; 6: 772–80. (PMID: 18318689).</ref> | ||
Revisión actual - 04:54 21 abr 2026
PERC Rule Calculator
Check all of the following that are true:
- Age <50yr
- Pulse ox >94% (room air)
- HR <100
- No prior PE or DVT
- No recent surgery or trauma (within prior 4wk, requiring general anesthesia)
- No hemoptysis
- No hormonal use (oral contraceptives, hormone replacement, or estrogenic hormone use in male or female patients)
- No unilateral leg swelling
In patients with low suspicion for PE (best-guess pre-test probability <15%) AND all are true, only 0.9% had PE (n=7527) and it can be ruled-out without further testing (i.e. no need for d-dimer)[1][2]
- ↑ Kline JA, et al. Clinical criteria to prevent unnecessary diagnostic testing in emergency department patients with suspected pulmonary embolism. J Thromb Haemost 2004; 2: 1247–55.
- ↑ Kline JA, et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria. J Thromb Haemost 2008; 6: 772–80. (PMID: 18318689).
