Equipment availability and diagnostic strategies for suspected pulmonary embolism in Austria

N. Schibany, D. Fleischmann, C. Thallinger, A. Schibany, J. Hahne, A. Ba-Ssalamah, C. J. Herold

Research output: Contribution to journalArticle

Abstract

The aim of this study was to investigate equipment availability and current diagnostic strategies for suspected pulmonary embolism (PE) in Austrian hospitals. A questionnaire was sent to the medical directors of all Austrian hospitals with emergency and/or surgical, orthopedic, and medical departments. The questionnaire contained questions regarding the available equipment suitable for the imaging diagnosis of PE, the first-line and second-line imaging tests for patients with suspected PE, and additional lower extremity venous imaging and laboratory tests that complement the diagnostic armamentarium. The return rate for questionnaires was 81% (127 of 157 hospitals). There were 97% of hospitals that had the equipment to perform sonography, 59% could perform pulmonary angiography, 54% spiral CT, 19% ventilation/perfusion (V/P) scintigraphy, and 4% perfusion scintigraphy alone. Spiral-CT angiography (SCTA) was the first-line imaging study for suspected PE in 56% of hospitals, followed by echocardiography and V/P scintigraphy. Lower extremity venous imaging (47%) and, interestingly, V/P scintigraphy (43%), served as second-line imaging tests. D-dimer tests were included in the diagnostic strategy in 74% of hospitals. Spiral-CT angiography is the most commonly used primary method for suspected PE in Austrian hospitals. The V/P scintigraphy is available only in a minority of hospitals to investigate patients with suspected PE. When V/P scintigraphy is available, however, it is employed in a large number of patients per annum.

Original languageEnglish (US)
Pages (from-to)2287-2294
Number of pages8
JournalEuropean Radiology
Volume11
Issue number11
DOIs
StatePublished - Jan 1 2001

Keywords

  • CT
  • Diagnostic strategy
  • Equipment availability
  • Pulmonary angiography
  • Pulmonary embolism
  • Survey
  • Ventilation/perfusion scintigraphy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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  • Cite this

    Schibany, N., Fleischmann, D., Thallinger, C., Schibany, A., Hahne, J., Ba-Ssalamah, A., & Herold, C. J. (2001). Equipment availability and diagnostic strategies for suspected pulmonary embolism in Austria. European Radiology, 11(11), 2287-2294. https://doi.org/10.1007/s003300100906