The YEARS algorithm for suspected pulmonary embolism: shorter visit time and reduced costs at the emergency department

Essentials The YEARS algorithm was designed to simplify the diagnostic workup of suspected pulmonary embolism. We compared emergency ward turnaround time of YEARS and the conventional algorithm. YEARS was associated with a significantly shorter emergency department visit time of ˜60 minutes. Treatment of pulmonary embolism was initiated 53 minutes earlier with the YEARS algorithm

[1]  L. Beenen,et al.  Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study , 2017, The Lancet.

[2]  D. Barten,et al.  Impact of a well-developed primary care system on the length of stay in emergency departments in the Netherlands: a multicenter study , 2016, BMC Health Services Research.

[3]  O. Rutschmann,et al.  Age-adjusted D-dimer cutoff levels to rule out pulmonary embolism: the ADJUST-PE study. , 2014, JAMA.

[4]  M. Bellinger.  Increasing Critical Care Admissions from U.S. Emergency Departments, 2001–2009 , 2013 .

[5]  P. Kamphuisen,et al.  Impact of delay in clinical presentation on the diagnostic management and prognosis of patients with suspected pulmonary embolism. , 2013, American journal of respiratory and critical care medicine.

[6]  F. Klok,et al.  How I diagnose acute pulmonary embolism. , 2013, Blood.

[7]  C. Camargo,et al.  Increasing Critical Care Admissions From U.S. Emergency Departments, 2001–2009* , 2013, Critical care medicine.

[8]  M. Brandeau,et al.  Cost-effectiveness of strategies for diagnosing pulmonary embolism among emergency department patients presenting with undifferentiated symptoms. , 2010, Annals of emergency medicine.

[9]  T. Morgenthaler,et al.  Early anticoagulation is associated with reduced mortality for acute pulmonary embolism. , 2010, Chest.

[10]  D. Aronsky,et al.  Systematic review of emergency department crowding: causes, effects, and solutions. , 2008, Annals of emergency medicine.

[11]  Pieter W Kamphuisen,et al.  Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography. , 2006, JAMA.

[12]  Mel Herbert,et al.  The mortality of untreated pulmonary embolism in emergency department patients. , 2005, Annals of emergency medicine.

[13]  A. Wienke,et al.  Timing of pulmonary embolism diagnosis in the emergency department. , 2016, Thrombosis research.

[14]  P. Patka,et al.  [Inventory of attendance at Dutch emergency departments and self-referrals]. , 2014, Nederlands tijdschrift voor geneeskunde.

[15]  Jeroen J. Bax,et al.  ESC Guidelines on the diagnosis and management of acute pulmonary embolism , 2014 .

[16]  T. Morgenthaler,et al.  Risk factors associated with delayed diagnosis of acute pulmonary embolism. , 2012, The Journal of emergency medicine.

[17]  W. Ageno,et al.  Factors associated with the timing of diagnosis of venous thromboembolism: results from the MASTER registry. , 2008, Thrombosis research.