Pulmonology Book



Aka: YEARS Score, YEARS Algorithm
  1. See Also
    1. Pulmonary Embolism
    2. Pulmonary Embolism Diagnosis
    3. Pulmonary Embolism Pretest Probability (Wells Clinical Prediction Rule for PE)
    4. Pulmonary Embolism Low Probability Evaluation
    5. Pulmonary Embolism Moderate Probability Evaluation
    6. Pulmonary Embolism High Probability Evaluation
    7. Wells Clinical Prediction Rule for PE
    8. PERC Rule
  2. Indications
    1. Pulmonary Embolism evaluation with D-Dimer
      1. YEARS Score is used to modify the D-Dimer cut-off (0.5 to 1.0)
  3. Criteria: Assign one point for each of three positive criteria
    1. Clinical evidence of Deep Vein Thrombosis (DVT)
    2. Hemoptysis
    3. Pulmonary Embolism most likely cause on differential diagnosis
  4. Interpretation
    1. YEARS Score 0 (all criteria negative)
      1. D-Dimer cut-off 1.0
    2. YEARS Score 1-3 (any criteria positive)
      1. D-Dimer cut-off 0.5
  5. Efficacy
    1. Safely and significantly reduces the use of CT Pulmonary Angiography
      1. van der Hulle (2017) Lancet 390(10091):289-97 +PMID:28549662 [PubMed]
  6. References
    1. Arora and Menchine in Herbert (2017) EM:Rap 17(12):20-1

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