TY -的T1 -计算机断层扫描评估风险of death in acute pulmonary embolism: a meta-analysis JF - European Respiratory Journal JO - Eur Respir J SP - 1678 LP - 1690 DO - 10.1183/09031936.00147813 VL - 43 IS - 6 AU - Becattini, Cecilia AU - Agnelli, Giancarlo AU - Germini, Federico AU - Vedovati, Maria Cristina Y1 - 2014/06/01 UR - //www.qdcxjkg.com/content/43/6/1678.abstract N2 - The aim of this study was to evaluate whether right ventricle dilation at computed tomography (CT) angiography can be used to assess the risk of death in patients with acute pulmonary embolism. Medline and EMBASE were searched up to April 30, 2013. Studies reporting on the association between right ventricle dilation (right-to-left ventricle diameter) or dysfunction (inter-ventricular septal bowing) at CT angiography and death at 30 days, as well as at 3 months in patients with acute pulmonary embolism, were included in a systematic review and meta-analysis. CT-detected right ventricle dilation was associated with an increased 30 day-mortality in all-comers with pulmonary embolism (OR 2.08 (95% CI 1.63–2.66); p<0.00001) and in haemodynamically stable patients (OR 1.64 (95% CI 1.06–2.52); p=0.03), as well as with death due to pulmonary embolism (OR 7.35 (95% CI 3.59–15.09); p<0.00001). An association between right ventricle dilation and 3-month mortality was also observed (OR 4.65 (95% CI 1.79–12.07); p=0.002). Right-to-left ventricle dilation as assessed by CT angiography can be used to evaluate risk of death in all-comers with pulmonary embolism and in haemodynamically stable patients. Multidetector CT can be used to assess short-term risk of death in patients with acute pulmonary embolism http://ow.ly/sNcBU ER -