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Acute Med. 2016;15(2):58-62.

Investigating for pulmonary embolism in pregnancy: Five year retrospective review of referrals to the acute medical unit of a large teaching hospital.

Author information

1
Consultant Acute Physician, West Suffolk Hospital, Hardwick Lane, Bury St Edmunds, IP33 2QZ.
2
Consultant Acute Physician and Endocrinologist, James Paget University, Hospital NHS Foundation Trust.
3
MBBS, Norfolk and Norwich University Hospital NHS Foundation Trust.
4
Anaesthetics SpR. MBBS, FRCA. West Suffolk NHS Foundation Trust.

Abstract

This was a retrospective review of five years' data relating to patients referred to the Acute Medical Unit (AMU) of a large teaching hospital with suspected Pulmonary Embolism (PE) during pregnancy or 6 weeks postpartum. During this period, 210 patients in this group underwent half-dose perfusion scanning as investigation for possible PE and were managed via our ambulatory pathway. Pulmonary embolism was diagnosed in 5.2% of patients compared to 18% of non-pregnant patients identified in a previous audit. Half-dose Q scanning enabled exclusion of PE in almost 90% of patients without the need for further imaging. A new local pathway for the investigation and management of PE during pregnancy has now been developed.

PMID:
27441306
[Indexed for MEDLINE]

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