Emerg Med J. 2014 Feb;31(2):170-1. doi: 10.1136/emermed-2013-203506.2.
A short cut review was carried out to establish whether the risk of thoracic aortic aneurysm can be assessed clinically at the bedside. 393 papers were found using the reported searches, of which two presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of those best papers are tabulated. It is concluded that there are no prospectively tested rules to risk stratify chest pain for the risk of dissecting aortic aneurysm. The aortic dissection detection score might be useful but requires prospective validation in an emergency department cohort of patients with chest pain.
进行了一项简短的综述，以确定在床边是否可以临床评估胸主动脉瘤的风险。使用报告的检索方法发现了 393 篇论文，其中有两篇提供了最佳证据来回答临床问题。作者、日期和出版国家、研究的患者群体、研究类型、相关结局、最佳研究的结果和局限性均制表列出。结论是，目前还没有经过前瞻性检验的规则可以对胸痛患者的主动脉夹层瘤风险进行风险分层。主动脉夹层检测评分可能有用，但需要在急诊科胸痛患者队列中进行前瞻性验证。
