Suspected Pulmonary Embolism

Overview

CPG 6A - Suspected Pulmonary Embolism

Abstract
AUC Description Imaging Modality GRADE / Evidence Summary of Findings Risk of Bias QOE of Recommendation ICD 10 Codes
PICO #1: In adults with suspected pulmonary embolism (PE) who are at low-risk for PE, should clinical assessment alone (no initial imaging) be performed compared to initial imaging for optimal patient outcome(s)? No imaging recommended (NORAD) 2A Table Table Table I26,I26.0,I26.9
PICO #2: In adults with suspected pulmonary embolism (PE) who are at moderate to high-risk for PE, should planar (traditional) V/Q imaging be performed compared to V/Q SPECT (Single Photon Emission CT) imaging for optimal patient outcome(s)? V/Q SPEC 2A Table Table Table I26,I26.0,I26.9
PICO #3: In adults with suspected pulmonary embolism (PE) who are at moderate to high risk for PE, should CTPA (CT Pulmonary Angiography) be performed compared to VQ SPECT (Single Photon Emission CT) for optimal diagnostic accuracy? CTPA 2A Table Table Table I26,I26.0,I26.9
PICO #4: In adults at high-risk for pulmonary embolism and for whom definitive imaging is unsafe (e.g. hemodynamically unstable) should echocardiography (ECHO) be performed compared to other initial imaging for optimal diagnostic accuracy? Echo 2A Table Table Table I26,I26.0,I26.9
PICO #5: In adults with clinically suspected DVT, should US imaging be the initial radiographic study for optimal diagnostic accuracy? Duplex US 2A Table Table Table I26,I26.0,I26.9
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