“rethinking testing for pulmonary embolism”

2 Oct

article by Newman & Schriger of the same name in a 2011 Annals has some interesting food for thought:

 

using pooled estimates from a number of studies, anticipated numbers:

  • 0.5-1.1% incidence of contrast-induced acute renal failure (e.g. new dialysis)
  • 0.05% total cancers induced by CT radiation exposure
    • 0.025% — 2.5 in 10,000 — fatal cancers induced by CT radiation
  • 2.8% total bleeding events from anticoagulation
    • 0.7% fatal bleeding events from anticoagulation

These are obviously estimates of incidence, not direct causality, but makes you think.  

PE’s can be deadly, of course, but keep this in mind when you are considering risk/benefit.

 

References: article; picture

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: