Olivia Bichoupan
Pronouns:
Research Mentor(s): Colin Greineder
Co-Presenter:
Research Mentor School/College/Department: Emergency Medicine, Pharmacology, Biointerfaces Institute / Medicine
Presentation Date: April 20
Presentation Type: Poster
Session: Session 2 – 11am – 11:50am
Room: League Ballroom
Authors: Josh Goldberg, Erica Griffin, Kelsey Grace
Presenter: 33
Abstract
Background: In the adult population, over 100,000 Americans die each year due to complications from Pulmonary Embolism, a blood clot that develops elsewhere in the body, often in the leg, and then travels to an artery in the lung. When compared to adults, acute PE is rare in the pediatric population, and there is little known about best practices for diagnosis or management in children. Objective: We sought to create a registry of acute PE cases diagnosed in the Children’s Emergency Services (CES) to define the diagnostic yield of E protocol CT (PECT) scanning, the frequency of non-diagnostic or equivocal scans, and the imaging characteristics of acute PEs identified in the pediatric ED. Methods: Retrospective chart review of 320 PECT cases at a tertiary, academic, pediatric hospital (Mott). Results: 18/320 patients (5.6%) were diagnosed with acute PE. An additional 18/320 (5.6%) had equivocal or non-diagnostic scans. 6/18 cases (33.3%) were unilateral and 12/18 (66.6%) were bilateral, while 3/18 cases (16.6%) had right heart strain and 3/18 (16.6%) cases had a pulmonary infarct on CT. Conclusions: PECT scanning is far less frequent in the pediatric ED, but has similar diagnostic yield (5-6%).
Biomedical Sciences
