links: [pregnancy-adapted YEARS](bookends://sonnysoftware.com/pdf/DL/210966/1711020348/0) , [Pregnancy-Adapted YEARS Algorithm for PE - Ready for Prime Time? - REBEL EM](cubox://card?id=7170452462149568346), [SGEM#277: Diagnosing Pregnant Pulmonary Embolism w/ YEARS](cubox://card?id=7170452878799144025)
related trials: [[YEARS]], [[Probability-adjusted PE diagnosis|PEGeD]]
tags:
#incomplete
# Pregnancy-Adapted YEARS algorithm
**Journal** - [[NEJM]]
**Authors** -
**Year** - 2019
# Clinical Question
## PICO
- **population / problem**
- **intervention / treatment**
- **Comparison**
- **Outcome**
# Background
> The pregnancy-adapted YEARS algorithm is the same as the YEARS algorithm but if the pregnant patient has signs of a DVT you get an ultrasound of the leg. If it shows a DVT you treat for VTE. If it does not show a DVT then you enter the regular YEARS algorithm.
![[Pasted image 20240321223931.png]]
# What this paper adds to the body of knowledge
# What they did
## design
- eg retrospective case controlled
- randomisation
- follow up
- power analysis
- type of analysis (eg intention to treat)
- setting
- blinding
- definitions
- inclusion
- exclusion
# Results
# Discussion
*Strengths:*
*Limitations:*
# Conclusions
## author conclusion
## my conclusion
PE was ruled out across all trimesters in pts with small risk of PE. CTPA avoided in 32-65% of pts. However, the trial needs external validation before it is ready for prime time.
# should this article change practice?