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Diagnostic Test Accuracy of the YEARS Algorithm for Pulmonary Embolism 肺栓塞 YEARS 算法的诊断测试准确性
Sultan Qaboos University Medical Journal Pub Date : 2024-01-29 DOI: 10.18295/squmj.1.2024.007
S. R. Te Haara, Helena De Rezende, Chao Wang
{"title":"Diagnostic Test Accuracy of the YEARS Algorithm for Pulmonary Embolism","authors":"S. R. Te Haara, Helena De Rezende, Chao Wang","doi":"10.18295/squmj.1.2024.007","DOIUrl":"https://doi.org/10.18295/squmj.1.2024.007","url":null,"abstract":"This systematic review and meta-analysis aimed to evaluate both the diagnostic test accuracy of the YEARS algorithm in excluding pulmonary embolism and to compare the advance imaging utilisation rate of YEARS against standard practice. Published studies were selected across several databases from July 2017 to September 2022 using Joanna Briggs Institute methodology for systematic reviews of diagnostic accuracy. The analysis included ten studies with nearly 14,000 participants. YEARS showed a sensitivity of 96% (95% CI 93-98%) and specificity of 50% (95% CI 33-67%). The risk ratio for advanced imaging was 0.78 (95% CI 67-90), showing an overall reduction. YEARS is an effective means of safely managing patients with suspected pulmonary embolism. \u0000Keywords: Pulmonary Embolism; Diagnostic Imaging; Fibrin Fragment D; Meta-Analysis; Systematic Review; Fibrin Fibrinogen Degradation Products; Clinical Decision Rules.","PeriodicalId":507291,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":"128 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140485775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unusual Presentation of Crohn’s Disease 克罗恩病的不寻常表现
Sultan Qaboos University Medical Journal Pub Date : 2024-01-29 DOI: 10.18295/squmj.1.2024.008
Abdulrahman Aljuraisi, Sultanah F Bin Gheshayan, Sarah Maria, Salahaldin Binnafisah, N. Alselaim
{"title":"Unusual Presentation of Crohn’s Disease","authors":"Abdulrahman Aljuraisi, Sultanah F Bin Gheshayan, Sarah Maria, Salahaldin Binnafisah, N. Alselaim","doi":"10.18295/squmj.1.2024.008","DOIUrl":"https://doi.org/10.18295/squmj.1.2024.008","url":null,"abstract":"Crohn’s disease is an inflammatory chronic disease affecting the gastrointestinal tract, mostly the colon and terminal ileum. The most frequent presentation is a young patient presented to a tertiary care center in Riyadh, Saudi Arabia in 2021 with chronic diarrhea, rectal bleeding, and abdominal pain. It is unusual for patients with Crohn’s disease to develop a benign large colon mass. In this case report, a female patient presented with chronic abdominal pain. The computed tomography findings showed a transverse colon mass invading the stomach. The biopsy report indicated reactive colonic mucosa with focal inflammatory exudate. She underwent a laparoscopic extended left hemicolectomy with en-bloc resection of the greater curvature of the stomach and primary anastomosis. \u0000Keywords: IBD, Crohn's disease, colon mass, transverse colon, abdominal pain.","PeriodicalId":507291,"journal":{"name":"Sultan Qaboos University Medical Journal","volume":"9 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140488530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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