Key result
Review outlines diagnostic recommendations to reduce missed aortic dissections and balance ED investigation rates.
Why the study?
Missed aortic dissection is a common reason for coronial investigations and negligence claims, but the appropriate diagnostic yield balancing investigation risks and benefits is undefined, and concerns remain regarding the aortic dissection detection risk score pathway.
What strategies can be implemented to improve the diagnosis of aortic dissection and reduce missed cases in the emergency department?
Design
Review of published literature and local audit data
Authors
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May inform ED protocols to reduce missed aortic dissections while curbing over-testing; leaves open prospective validation of recommendations.
What strategies can be implemented to improve the diagnosis of aortic dissection and reduce missed cases in the emergency department?
This review highlights the need for balanced diagnostic pathways to reduce missed aortic dissection cases in the emergency department without causing undue harm from over-investigation.
Kelly et al. (2022) conducted a review in Aortic dissection. Diagnostic strategies was evaluated. A review of published literature and local audit data provides recommendations to reduce missed aortic dissection cases in emergency departments and balance the risks of higher investigation rates.
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