Présentation clinique, paraclinique et sensibilité des scores diagnostiques de l’embolie pulmonaire aux urgences : étude rétrospective de l’effet de l’âge au CHRU de Strasbourg (notice n° 259897)
[ vue normale ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 03932cam a2200337 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250112073836.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Boussuge, Alexandre |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Présentation clinique, paraclinique et sensibilité des scores diagnostiques de l’embolie pulmonaire aux urgences : étude rétrospective de l’effet de l’âge au CHRU de Strasbourg |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2018.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 46 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Le diagnostic d’une embolie pulmonaire (EP) reste difficile. L’objectif de cette étude était d’analyser l’effet de l’âge sur son mode de présentation clinique, paraclinique et la sensibilité des scores diagnostiques. Méthodes : Rétrospectivement, tous les patients sortis avec une EP documentée du service des urgences adultes du Centre hospitalier régional universitaire de Strasbourg sur une année ont été considérés. Selon 4 catégories d’âge (< 70, 70-74, 75-80 et > 80 ans), les données des dossiers médicaux ont été analysées et comparées. Résultats : 117 patients remplissaient les critères d’inclusion. La douleur thoracique était moins fréquente après 80 ans ; aucune différence n’a été observée concernant la syncope ou la dyspnée. Un patient sur quatre a eu une scintigraphie pulmonaire, avec une augmentation du recours avec l’âge. L’angioscanner thoracique concernait 79 % des patients avec une diminution significative de son utilisation avec l’âge. La sensibilité des scores diagnostiques était basse mais augmentait avec l’âge. Conclusion :Cette étude confirme la faible spécificité des signes cliniques et la faible sensibilité des scores diagnostiques de l’EP après 70 ans. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | The diagnosis of pulmonary embolism remains difficult. The objective of this study was to analyze the effect of age on the clinical presentation mode and the sensitivity of the diagnostic scores. Methods: In retrospect, all patients discharged with a documented diagnosis of pulmonary embolism from the adult emergency service of the Regional university hospital of Strasbourg (France) over a year were considered. According to 4 age categories (<70, 70-74, 75-80 and >80 years) the data from the medical records were analyzed and compared. Diagnostic scores of Wells and modified Geneva were calculated. Results:117 patients met the inclusion criteria (mean age 71.8±13.8 years, women 54%). Chest pain was less common after 80 years; no difference was observed for syncope or dyspnea although the oxygen saturation is lower in old age. For diagnosis, 25% of patients had a lung scintigraphy with an increased recourse with age (<70 years: 10%, >80 years: 41%). Thoracic computed tomography angiography concerned 79% of patients with a significant decrease of his use in older. The sensitivity of the diagnostic scores was low but increased with age when the strong and intermediate probabilities of pulmonary embolism were combined. Conclusion:This study confirms the low specificity of the clinical signs of pulmonary embolism, whatever the age. It also shows the low sensitivity of the diagnostic scores in the 70 years or older. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | présentation clinique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | embolie pulmonaire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | diagnostic |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | personne âgée |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pulmonary embolism |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | clinical features |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | diagnosis |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | aged people |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Boidevézi, Anne |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Vogel, Thomas |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Schmitt, Elise |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Lefebvre, François |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bilbault, Pascal |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Lang, Pierre-Oliver |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Gériatrie et Psychologie Neuropsychiatrie du Vieillissement | 16 | 4 | 2018-12-03 | p. 349-358 | 2115-8789 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2018-4-page-349?lang=fr">https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2018-4-page-349?lang=fr</a> |
Pas d'exemplaire disponible.
Réseaux sociaux