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Q In patients with suspected pulmonary embolism, how do clinical prediction rules (using explicit features of clinical examination) compare with clinical impression based on routine data (the clinical gestalt) for determining the pretest probability of pulmonary embolism?
Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ IM/Ambulatory care ★★★★★☆☆ Cardiology ★★★★★☆☆ Internal medicine ★★★★★★☆ Respirology ★★★★★★☆
METHODS
Data sources:
Medline (1966 to March 2003) and reference lists.
Study selection and assessment:
English language studies were selected if patients with suspected pulmonary embolism were included; clinical assessment was done blinded to the results of diagnostic testing; pretest probability of pulmonary embolism was estimated using the clinical gestalt or a clinical prediction rule; and assessments were compared with validated diagnostic methods for confirming …