YEARS clinical decision rule; YEARS score
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Procedure
- based on 3 criteria
- clinical signs of deep vein thrombosis
- hemoptysis
- whether pulmonary embolism is the most likely diagnosis
- + plasma D-dimer concentrations (< 500 mg/dL or age-adjusted value)[1][2]
Interpretation
- in patients without YEARS items & plasma D-dimer < 1000 ng/mL, or in patients with one or more YEARS items & plasma D-dimer < 500 ng/mL, pulmonary embolism is considered excluded[1]
More general terms
Additional terms
References
- ↑ 1.0 1.1 1.2 Van der Hulle T, Cheung WY, Kooij S, et al Simplified Diagnostic Management of Suspected Pulmonary Embolism (the YEARS Study): A Prospective, Multicentre, Cohort Study. Lancet 2017;May 23 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28549662 <Internet> http://www.acc.org/latest-in-cardiology/journal-scans/2017/06/02/10/46/simplified-diagnostic-management-of-suspected-pulmonary-embolism
- ↑ 2.0 2.1 Freund Y et al. Effect of a diagnostic strategy using an elevated and age-adjusted D-dimer threshold on thromboembolic events in emergency department patients with suspected pulmonary embolism: A randomized clinical trial. JAMA 2021 Dec 7; 326:2141 PMID: https://www.ncbi.nlm.nih.gov/pubmed/34874418 PMCID: PMC8652602 (available on 2022-06-07) https://jamanetwork.com/journals/jama/fullarticle/2786829