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YEARS clinical decision rule; YEARS score

Procedure: - based on 3 criteria - clinical signs of deep vein thrombosis - hemoptysis - whether pulmonary embolism is the most likely diagnosis - + plasma D-dimer concentrations (< 500 mg/dL or age-adjusted value) [1,2] Interpretation: - in patients without YEARS items & plasma D-dimer < 1000 ng/mL, or in patients with one or more YEARS items & plasma D-dimer < 500 ng/mL, pulmonary embolism is considered excluded [1]

Related

clinical decision rules for pulmonary embolism

General

numerical rating scale (NRS)

References

  1. Van der Hulle T, Cheung WY, Kooij S, et al Simplified Diagnostic Management of Suspected Pulmonary Embolism (the YEARS Study): A Prospective, Multicentre, Cohort Study. Lancet 2017;May 23 PMID: 28549662 http://www.acc.org/latest-in-cardiology/journal-scans/2017/06/02/10/46/simplified-diagnostic-management-of-suspected-pulmonary-embolism
  2. Freund Y et al. Effect of a diagnostic strategy using an elevated and age-adjusted D-dimer threshold on thromboembolic events in emergency department patients with suspected pulmonary embolism: A randomized clinical trial. JAMA 2021 Dec 7; 326:2141 PMID: 34874418 PMCID: PMC8652602 (available on 2022-06-07) https://jamanetwork.com/journals/jama/fullarticle/2786829