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The utility of risk assessment tools for acute pulmonary embolism in children

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dc.contributor.authorERGENEKON, ALMALA PINAR
dc.contributor.authorYILMAZ YEĞİT, CANSU
dc.contributor.authorSELÇUK, MERVE
dc.contributor.authorTRUE, ÖMER
dc.contributor.authorERDEM ERALP, ELA
dc.contributor.authorGÖKDEMİR, YASEMİN
dc.contributor.authorKARADAĞ, BÜLENT TANER
dc.contributor.authorsERGENEKON A. P. , YILMAZ YEĞİT C., Cenk M., Gulieva A., Kalyoncu M., SELÇUK M., DOĞRU Ö., ERDEM ERALP E., GÖKDEMİR Y., Karakoc F., et al.
dc.date.accessioned2022-10-10T16:54:57Z
dc.date.available2022-10-10T16:54:57Z
dc.date.issued2022-09-01
dc.description.abstractBackground and Aim Pulmonary embolism (PE) is a potentially life-threatening disease in children. The objective of the study is to evaluate the utility of adult-based pulmonary embolism rule-out criteria (PERC), Pediatric PE Model, and D-dimer in the diagnosis of PE in children. Material and Methods The study consisted of patients under 18 years of age who were consulted to the Pediatric Pulmonology Clinic for the evaluation of PE. Patients were divided into two groups based on the confirmation of PE. The group with the presence of PE (n = 20) consisted of children who were diagnosed with PE. The group with the absence of PE (n = 28) consisted of children with clinically suspected PE but negative diagnostic imaging. Adult validated clinical decision PERC rule and Pediatric PE Model were retrospectively applied to the patients. Results In the study, PERC demonstrated a sensitivity of 60% and a specificity of 46% for the diagnosis of PE in children. When PE Model was evaluated for the children, it was found a 50% sensitivity and 75% specificity. Combining PE Model and PERC rule with D-dimer did not increase the specificity and sensitivity. Smoking was found to be relevant for PE in the childhood. Twenty-five percent of the patients had a genetic tendency for PE. All of the patients had an underlying disease as well. Conclusion None of the current risk assessment tools (PE Model, PERC, D-dimer) were found to be accurate in predicting PE. Further larger population studies are still required to develop a better diagnostic approach.
dc.identifier.citationERGENEKON A. P. , YILMAZ YEĞİT C., Cenk M., Gulieva A., Kalyoncu M., SELÇUK M., DOĞRU Ö., ERDEM ERALP E., GÖKDEMİR Y., Karakoc F., et al., "The utility of risk assessment tools for acute pulmonary embolism in children", PEDIATRIC PULMONOLOGY, 2022
dc.identifier.doi10.1002/ppul.26155
dc.identifier.issn8755-6863
dc.identifier.urihttps://hdl.handle.net/11424/282246
dc.language.isoeng
dc.relation.ispartofPEDIATRIC PULMONOLOGY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectÇocuk Sağlığı ve Hastalıkları
dc.subjectGöğüs Hastalıkları ve Allerji
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectChild Health and Diseases
dc.subjectChest Diseases and Allergy
dc.subjectHealth Sciences
dc.subjectPEDİATRİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectSOLUNUM SİSTEMİ
dc.subjectPEDIATRICS
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectRESPIRATORY SYSTEM
dc.subjectSolunum Bakımı
dc.subjectPediatri
dc.subjectAkciğer ve Solunum Tıbbı
dc.subjectPediatri, Perinatoloji ve Çocuk Sağlığı
dc.subjectRespiratory Care
dc.subjectPediatrics
dc.subjectPulmonary and Respiratory Medicine
dc.subjectPediatrics, Perinatology and Child Health
dc.subjectchildren
dc.subjectdiagnostic modalities
dc.subjectpulmonary embolism
dc.subjectVENOUS THROMBOEMBOLISM
dc.subjectCLINICAL PROBABILITY
dc.subjectSMOKING
dc.subjectTHROMBOPHILIA
dc.subjectCHILDHOOD
dc.subjectFEATURES
dc.subjectREGISTRY
dc.subjectOBESITY
dc.titleThe utility of risk assessment tools for acute pulmonary embolism in children
dc.typearticle
dspace.entity.typePublication
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