caa a22 4500 606171541 CHVBK 20210128100723.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10140-014-1280-7 doi (NATIONALLICENCE)springer-10.1007/s10140-014-1280-7 The prevalence of pulmonary embolism among patients suffering from acute exacerbations of chronic obstructive pulmonary disease [Elektronische Daten] [Mika Shapira-Rootman, Marinella Beckerman, Uri Soimu, Alicia Nachtigal, Abdel-Rauf Zeina] The clinical diagnosis of acute pulmonary embolism (PE) in patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) is often difficult due to the similarity in the presenting symptoms of the two conditions. The purpose of this study was to determine the prevalence of PE in patients with acute exacerbation of COPD. Forty-nine consecutive patients admitted to our medical center for acute exacerbation of COPD were investigated for PE (whether or not clinically suspected), following a standardized algorithm based on D-dimer testing and computed tomography pulmonary angiography (CTPA). PE was ruled out by a D-dimer value <500μg/L in 20 (41%) patients and by negative CTPA in 40 (82%). PE was confirmed in 9 patients. The prevalence of PE was 18%. One patient with normal D-dimer had PE. Presenting symptoms and signs were similar between patients who did and did not have PE. PE was detected in 18% of COPD patients who were hospitalized for an acute exacerbation. This finding supports the systematic evaluation of PE in hospitalized COPD exacerbated patients. American Society of Emergency Radiology, 2014 Pulmonary embolism nationallicence Chronic obstructive pulmonary disease (COPD) nationallicence Exacerbation nationallicence D-dimer nationallicence Pulmonary CTA nationallicence Shapira-Rootman Mika Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut Beckerman Marinella Department of Internal Medicine A, Hillel Yaffe Medical Center, Hadera, Israel aut Soimu Uri Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut Nachtigal Alicia Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut Zeina Abdel-Rauf Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut Emergency Radiology Springer Berlin Heidelberg 22/3(2015-06-01), 257-260 1070-3004 22:3<257 2015 22 10140 https://doi.org/10.1007/s10140-014-1280-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10140-014-1280-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shapira-Rootman Mika Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut NATIONALLICENCE 700 1- Beckerman Marinella Department of Internal Medicine A, Hillel Yaffe Medical Center, Hadera, Israel aut NATIONALLICENCE 700 1- Soimu Uri Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut NATIONALLICENCE 700 1- Nachtigal Alicia Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut NATIONALLICENCE 700 1- Zeina Abdel-Rauf Department of Radiology, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel aut NATIONALLICENCE 773 0- Emergency Radiology Springer Berlin Heidelberg 22/3(2015-06-01), 257-260 1070-3004 22:3<257 2015 22 10140