Abstract
Although selective screening for an abdominal aortic aneurysm (AAA) by abdominal palpation aimed at detecting AAAs has engendered considerable support, no population-based data pertaining to the positive predictive value (PPV) of the clinical assessment of AAAs in routine clinical practice are available. Therefore, we used the unique resources of the Rochester (Minn) Epidemiology Project and the Mayo Clinic computerized abdominal ultrasonography database to identify all residents of Olmsted County, Minnesota,who underwent ultrasound examination for a clinically suspected AAA between November 1, 1985, and October 31, 1987. Of 116 residents who were suspected of having an AAA on abdominal palpation and were referred for an ultrasound examination for confirmation, 17 patients had a 3.5-cm or greater AAA by ultrasound examination (PPV = 14.7%). The probability of AAA by ultrasound examination (PPV = 14.7%). The probability of AAA documentation by ultrasound examination given clinical suspicion of an AAA was associated with higher body mass index, older age,and presence of other macrovascular disease. In 17 patients aged 70 years or younger, without other macrovascular disease and with body mass index of 24 or less, only 1 had an AA...Continue Reading
Citations
Jan 1, 1995·Surgery Today·H TakeiT Yokoe
Jul 1, 1991·Journal of General Internal Medicine·J B Reuler, K L Kumar
Dec 1, 1996·Journal of General Internal Medicine·C E Kahn, F A Quiroz
Dec 21, 2006·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·A R ZanklC P Tiefenbacher
Jun 18, 2002·Pediatric Emergency Care·Kenneth Yen, Marc H Gorelick
Mar 1, 1996·Echocardiography·Edward I. Bluth, Lloyd LoCascio
Sep 1, 1990·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·P N NemetzL T Kurland
Oct 27, 2009·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Jarlis Wesche
Mar 10, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Shota FukudaUNKNOWN AAA Japan Study Investigators
Jul 27, 2007·Echocardiography·Farideh RoshanaliBabak Baharvand
Apr 1, 1995·Surgery·A ChervuP J Rossi
Oct 27, 1997·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·P C SpittellJ B Seward
Oct 12, 2004·Emergency Medicine Clinics of North America·Robert L Rogers, Ryan McCormack