Publications by authors named "T Moumneh"
Background: Prophylactic anticoagulation in emergency department patients with lower limb trauma requiring immobilisation is controversial. The Thrombosis Risk Prediction for Patients with Cast Immobilisation-TRiP(cast)-score could identify a large subgroup of patients at low risk of venous thromboembolism for whom prophylactic anticoagulation can be safely withheld. We aimed to prospectively assess the safety of withholding anticoagulation for patients with lower limb trauma at low risk of venous thromboembolism, defined by a TRiP(cast) score of less than 7.
View Article and Find Full Text PDFBackground: The HOME-CoV (Hospitalisation or Outpatient ManagEment of patients with SARS-CoV-2 infection) score is a validated list of uniquely clinical criteria indicating which patients with probable or proven COVID-19 can be treated at home. The aim of this study was to optimise the score to improve its ability to discriminate between patients who do and do not need admission.
Methods: A revised HOME-CoV score was derived using data from a previous prospective multicentre study which evaluated the original Home-CoV score.
Article Synopsis
- Diagnosing pulmonary embolism (PE) is hard in 2023 because its signs and symptoms are confusing and not clear.
- Many tests, like a special scan called CTPA, are done more often now, but this hasn't really helped patients feel better.
- Some new ideas are being discussed to reduce unnecessary testing, like changing the rules for which patients need certain tests, to prevent complications and risks from the extra scans.
Article Synopsis
- This study looked at how to safely check if pregnant women might have a serious condition called pulmonary embolism (PE) using different tests and rules.
- They found that using the Wells rule and certain blood tests (D-dimer) can help figure out if PE is likely, and these methods worked well without too many false alarms.
- However, another test using ultrasound on veins (CUS) didn’t work well unless the patients had more obvious symptoms of another condition, so it's better to use the blood tests in these cases.
Introduction: Current guidelines for patients presenting to the emergency department (ED) with chest pain without ST-segment elevation myocardial infarction (STEMI) on ECG are based on serial troponin measurements. A clinical tool able to identify very low-risk patients who could forgo a troponin test and low-risk patients requiring only one troponin measurement would be of great interest. To do so, the HEAR and HEART score, standing for history, ECG, age, risk factors±troponin were prospectively assessed, but not combined and implemented in clinical practice.
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