Van der Hulle T, Cheung WY, Kooij S, et al. Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study. Lancet. 2017;

Van der Pol LM, Van der Hulle T, Cheung YW, et al. No added value of the age-adjusted D-dimer cut-off to the YEARS algorithm in patients with suspected pulmonary embolism. J Thromb Haemost. 2017;15(12):2317-2324.

Righini M, Van es J, Den exter PL, et al. Age-adjusted D-dimer cutoff levels to rule out pulmonary embolism: the ADJUST-PE study. JAMA. 2014;311(11):1117-24.

Van der pol LM, Tromeur C, Bistervels IM, et al. Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism. N Engl J Med. 2019;380(12):1139-1149.

Kabrhel C, Van hylckama vlieg A, Muzikanski A, et al. Multicenter Evaluation of the YEARS Criteria in Emergency Department Patients Evaluated for Pulmonary Embolism. Acad Emerg Med. 2018;25(9):987-994.

Freund Y, Chauvin A, Jimenez S, et al. Effect of a diagnostic strategy using an elevated and age-adjusted d-dimer threshold on thromboembolic events in emergency department patients with suspected pulmonary embolism: a randomized clinical trial. JAMA. 2021;326(21):2141-2149.

Dr. Tom van der Hulle

Dr. Menno Huisman

YEARS Algorithm for Pulmonary Embolism (PE)

pregnant

comp

hemoptysis

likely

dimer500

dimer1000

Helps rule out pulmonary embolism; also validated in pregnant patients with clinically suspected PE.

YEARS Algorithm

Daniel Runde, MD, is currently the assistant residency director and an assistant professor of emergency medicine at the University of Iowa Hospitals and Clinics. He received his medical degree at the University of Iowa Carver College of Medicine and completed residency in emergency medicine at St. Luke’s-Roosevelt Hospital Center in New York. He recently finished his Medical Education Fellowship at the department of emergency medicine at Harbor-UCLA. Dr. Runde is interested in evidence-based medicine with a focus on patient-important clinical outcomes, CT utilization in the emergency department and education and evaluation in medical education. Currently, he is in the process of obtaining a Masters in Medical Education through the Office of Consultation and Research in Medical Education at the University of Iowa Hospitals and Clinics.

Daniel Runde, MD

Matthew Negaard, MD, is a current third-year emergency medicine resident at the University of Iowa. He grew up in Sioux City, Iowa and attended Northwestern College in Orange City, Iowa for his undergraduate education. Dr. Negaard received his medical degree from the University of Iowa Carver College of Medicine where he began to develop an interest in emergency medicine and sports medicine. He has continued to develop and expand his interest in those fields as well as medical education through clinical research and evidence-based practice activities. He plans to pursue a sports medicine fellowship upon completion of his residency.

Matthew Negaard, MD

The YEARS Algorithm for PE helps rule out pulmonary embolism (not externally validated).

Wells' Score for PE

Geneva Score (Revised)

Age-Adjusted D-dimer

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