Emergency and Critical Care Medicine: Diagnosis and Management

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: closed (31 March 2025) | Viewed by 861

Special Issue Editor


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Guest Editor
Emergency Department, University Hospital Centre, Zagreb, Croatia
Interests: intensive care medicine; resuscitation; critical care medicine; airway management; artificial intelligence in critical care medicine
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Special Issue Information

Dear Colleagues,

This Special Issue focuses on timely and accurate diagnosis within high-stakes medical settings. Highlighting the latest advancements in diagnostic techniques and protocols, it showcases how rapid identification of life-threatening conditions can save precious time and improve patient outcomes. From the utilization of advanced imaging modalities to facilitate early diagnosis of acute illnesses, to the integration of point-of-care testing for rapid decision-making, it underscores the critical role of diagnostic excellence in ICU and emergency medicine. It also emphasizes the importance of multidisciplinary collaboration and continuous education for healthcare professionals navigating the complexities of critical and emergency care, ensuring optimal patient management and care delivery.

Dr. Ivan Gornik
Guest Editor

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Keywords

  • ICU
  • emergency medicine
  • trauma and injury
  • acute illness
  • accurate diagnosis
  • imaging

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Published Papers (1 paper)

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Research

12 pages, 548 KiB  
Article
Factors Predicting CT Pulmonary Angiography Results in the Emergency Department
by Nika Rakuša, Zrinka Sertić, Maja Prutki, Ana Marija Alduk and Ivan Gornik
Diagnostics 2025, 15(7), 827; https://doi.org/10.3390/diagnostics15070827 - 25 Mar 2025
Viewed by 429
Abstract
Background: Pulmonary embolism (PE) remains a major concern in emergency patients presenting with respiratory symptoms, with an increase in the demand for CT pulmonary angiography (CTPA) and low yields of this ever more sensitive test. We wanted to investigate factors associated with [...] Read more.
Background: Pulmonary embolism (PE) remains a major concern in emergency patients presenting with respiratory symptoms, with an increase in the demand for CT pulmonary angiography (CTPA) and low yields of this ever more sensitive test. We wanted to investigate factors associated with pulmonary embolism on CTPA, aiming to reduce unnecessary requests. Methods: In a single-center, retrospective study, we analyzed all CTPA reports for emergency patients during the year 2023. Various patients’ variables were evaluated for associations with the presence/absence of PE, including the presence or absence of pulmonary pathology identified prior to the CTPA order. Results: A total of 1555 CTPA reports were analyzed, of which 278 (17.9%) were positive for PE. The highest ORs (40.9) for PE were found for patients diagnosed with DVT prior to CTPA. The lowest odds ratios of having PE were found for patients with acute congestive heart failure (OR = 0.141), especially in the absence of cancer (OR = 0.089) and for patients with hypercapnia in COPD exacerbation (OR = 0.062). Tachycardia and hypoxemia were the physiological variables positively associated with PE, while hypercapnia was negatively associated with PE. For patients with heart failure, COPD exacerbation, and pneumonia, higher D-dimer cut-off values (3.87 mg/L, 1.25 mg/L, and 1.34 mg/L, respectively) were found to retain 100% sensitivity for PE. Conclusions: Stricter criteria for CTPA orders in the presence of other pulmonary pathologies may reduce unnecessary scanning. Higher D-dimer cut-off values in such cases may lead to higher specificity without sacrificing sensitivity. Full article
(This article belongs to the Special Issue Emergency and Critical Care Medicine: Diagnosis and Management)
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