BEST EVIDENCE TOPIC REPORTS
BET 2. DIAGNOSTIC UTILITY OF CHEST X RAY FOR INVESTIGATION OF PULMONARY EMBOLISM
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Report by: Gerard Brown, Consultant Emergency Medicine
Search checked by: Kerstin Hogg, Clinical Lecturer Emergency Medicine
Institution: Stepping Hill Hospital and Salford Royal Hospital
In [a patient presenting with features suggestive of pulmonary embolus] what is [the diagnostic utility of chest x ray] in [stratifying risk of pulmonary embolus]?
A 30-year-old man presents to the department with a spontaneous onset of atraumatic pleuritic chest pain. He is in a low-risk group clinically. You wonder whether a chest x ray (CXR) will help safely to exclude a pulmonary embolus.
Medline 1950 to November week 3 2008 using the OVIDSP interface.
[exp Pulmonary Embolism OR exp Thromboembolism OR PE.mp OR pulmonary infarct$.mp OR pulmonary embol$.mp] AND [exp Radiography, Thoracic OR chest Xray.mp OR Chest X-Ray.mp OR CXR.mp OR chest radiograph$.mp] LIMIT to human.
A total of 727 papers was found. To be included, the study had to report sufficient data
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