Title |
Graham, Curtis MSRS_2023 |
Alternative Title |
Overutilizing of Computed Tomography Pulmonary Angiogram |
Creator |
Graham, Curtis |
Collection Name |
Master of Radiologic Sciences |
Description |
This literature review was performed to show the significance of the misuse or under-use of the pre-test probability screens for patients suspected of having PE in addition to the severity of the overuse of CTPA. |
Abstract |
Computed tomography pulmonary angiography (CTPA) has evolved into the gold standard diagnostic for confirming the presence of a pulmonary embolism (PE). CTPA has become more readily available at healthcare organizations around the United States. The vast availability of the exam poses some disadvantages regarding patient exposure to radiation and financial implications on both the patients and the healthcare organizations. Prior to CTPA, healthcare professionals are expected to use pre-test algorithms and labs to determine the patient's probability of having a PE. The D-dimer assay in combination with the Well's Score are used to categorize patients into either a low or high probability category. Only patients with high probability screens are considered appropriate to undergo CTPA; however, more and more physicians, especially in the emergency room setting, are forgoing the pre-test screening or are not following the guidelines of the pre-test probability screens and ordering CTPA exams on patients regardless of their pre-test probability or lack thereof. This literature review was performed to show the significance of the misuse or under-use of the pre-test probability screens for patients suspected of having PE in addition to the severity of the overuse of CTPA. |
Subject |
Medicine; Medical policy; Patient monitoring |
Digital Publisher |
Stewart Library, Weber State University, Ogden, Utah, United States of America |
Date |
2023 |
Medium |
Thesis |
Type |
Text |
Access Extent |
440 KB; 37 page pdf |
Rights |
The author has granted Weber State University Archives a limited, non-exclusive, royalty-free license to reproduce his or her theses, in whole or in part, in electronic or paper form and to make it available to the general public at no charge. The author retains all other rights. |
Source |
University Archives Electronic Records: Master of Education. Stewart Library, Weber State University |
Format |
application/pdf |
ARK |
ark:/87278/s6zt0k75 |
Setname |
wsu_smt |
ID |
142804 |
Reference URL |
https://digital.weber.edu/ark:/87278/s6zt0k75 |