The most important question in medicine: Ask it often enough, and it will eventually save someone's life. MedTwitter
The authors leveraged the nationwide VA database, allowing them to examine data from over 100,000 patients presenting to various VA EDs with shortness of breath. They then looked for particular tests —, CT chest with contrast, V/Q scan, lower-extremity Doppler — that would suggest that the doctor was thinking about PE. The question, then, is whether mentioning CHF in that little"visit reason" section would influence the likelihood of testing for PE.
There's one other thing to notice from the data: The overall PE rate was basically the same in both groups. That"CHF" label does not really flag a group at lower risk for PE.of assumptions here, including that all PEs that were actually there in the ED got caught within 30 days, but the numbers do paint a picture. In this unadjusted analysis, it seems that the"CHF" label leads to less testing and more missed PEs. Classic anchoring bias.
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