Pulmonary Embolism in Family Practice Care; Systematic Review

Abstract: Pulmonary embolism (PE) is a relatively common acute cardiovascular disorder with high early mortality rates. the incidence of PE is estimated to be approximately 60 to 70 per 100,000, and that of venous thrombosis approximately 124 per 100,000 of the general population. This Systematic review study aimed to overview the pulmonary embolisms from different perspectives in family practice (primary care), we intended to discuss the role of early diagnosis and approaches to do so, also to evaluate the management available options in primary care for pulmonary embolisms. We conducted a systematic review study, through search in literature among Medline and the Database of Abstracts and Reviews (DARE) to identify identified clinical studies and systematic reviews. We searched Medline for English language publications and the Cochrane Database of Systematic Reviews up to December 2016. Several studies compared the predictive worth of the gestalt and medical choice rule when utilized in combination with D-dimer testing for leaving out lung embolism. The level of sensitivity of gestalt was similar to medical rules (Wells, Geneva, Revised Geneva) however its uniqueness was lower. Using a point of care D-dimer test integrated with the Wells rule worked in reducing false positives. other evidence stated that the Family Physicians appear with apparently gave concern to sensitivity rather than uniqueness in role of diagnosis of PE. Keywords: Pulmonary embolism (PE), Database of Abstracts and Reviews (DARE). Title: Pulmonary Embolism in Family Practice Care; Systematic Review Author: Saadiah Adnan Balkhy, Faisal Jameel Filfilan, Yara Mohammed Akbar, Ayah Jihad Istanbouli, Aisha Muhammad Iqbal, Abdulaziz Dhaifallah Alzahrani, Abdullah Naif Alsulaimani International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Research Publish Journals

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