Review of Different Scoring Systems in Assessing the Clinical Probability of Pulmonary Embolism
Ajala Aisha Oluwabunmi *
Department of Internal Medicine University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Negedu John
China Medical University, Liaoning province, China.
*Author to whom correspondence should be addressed.
Abstract
Pulmonary embolism remains to be fatal and measures should therefore be taken early enough. It remains one of the most challenging diagnoses in emergency medicine. A mini-review of the scoring criteria for pulmonary embolism in clinical assessments was carried out. The five strategies discussed include; the revised Wells’ criteria, the revised Geneva score, the YEAR algorithm for pulmonary embolism, Pulmonary Embolism Rule Out Criteria and 4-Level Pulmonary Embolism Clinical Probability Score (4PEPS) All these strategies have advantages and disadvantages. They are also best applicable in different situations. Considering that PE is fatal, these methods are all crucial in determining the probability of PE. Doctors should be able to think through each individual patient.
Keywords: Pulmonary embolism, testing criteria, 4PEPS