Publications by authors named "Heloise Bannelier"
Background: In patients with a high clinical probability of pulmonary embolism (PE), the high prevalence can lower the D-dimer negative predictive value and increase the risk of diagnostic failure. It is therefore recommended that these high-risk patients should undergo chest imaging without D-dimer testing although no evidence supports this recommendation.
Objective: The objective was to evaluate the safety of ruling out PE based on D-dimer testing among patients with a high clinical probability of PE.
Introduction: Although largely used, the place of oxygen therapy and its devices in patients with acute hypoxemic respiratory failure (ARF) deserves to be clarified. The French Intensive Care Society (Société de Réanimation de Langue Française, SRLF) and the French Emergency Medicine Society (Société Française de Médecine d'Urgence, SFMU) organized a consensus conference on oxygen therapy in ARF (excluding acute cardiogenic pulmonary oedema and hypercapnic exacerbation of chronic obstructive diseases) in December 2023.
Methods: A committee without any conflict of interest (CoI) with the subject defined 7 generic questions and drew up a list of sub questions according to the population, intervention, comparison and outcomes (PICO) model.
Article Synopsis
- Diagnosing pulmonary embolism (PE) in the emergency department can be tricky because it involves different steps and tests.
- Doctors check for symptoms like chest pain or shortness of breath and use specific rules to decide if a patient might have PE.
- If they think someone is likely to have PE, they do imaging tests, while lower-risk patients might just need a D-dimer blood test to help figure things out.
Article Synopsis
- The study aimed to evaluate how well the Pulmonary Embolism Rule-out Criteria (PERC) and the age-modified PERC-35 tool perform in emergency departments for patients aged 35 and younger suspected of having a pulmonary embolism (PE).
- Data from 1,235 patients indicated that while both PERC and PERC-35 could rule out PE in nearly half the cases, there were still a few missed diagnoses.
- Results showed that both tools had similar safety and efficacy, but the research couldn't definitively confirm their reliability due to large confidence intervals.
Background: Hemoptysis is not common in pulmonary embolism (PE) and lacks specificity for its diagnosis. However, this item is present in different validated scores that estimate the clinical probability of PE. The relevance of this item in clinical decision rules (CDRs) is not clearly established.
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