Journal of General Internal Medicine

, Volume 11, Issue 12, pp 756–758

Positive predictive value of clinical suspicion for abdominal aortic aneurysm

Implications for use of ultrasonography


  • Charles E. KahnJr.
    • Department of RadiologyMedical College of Wisconsin
  • Francisco A. Quiroz
Brief Reports

DOI: 10.1007/BF02598992

Cite this article as:
Kahn, C.E. & Quiroz, F.A. J Gen Intern Med (1996) 11: 756. doi:10.1007/BF02598992


To measure the positive predictive value (PPV) of clinical suspicion of abdominal aortic aneurysm (AAA), as confirmed by ultrasonography, we reviewed the records of 343 patients at a university medical center referred to ultrasonography for newly suspected AAA. Positive predictive value was 11.1% for large aneurysms of at least 5.0 cm and 18.7% for aneurysms of at least 3.5 cm, and was higher for men and older patients. For patients under 50 years of age, PPV was only 2.6%. Ultrasonography for clinically suspected AAA has a low positive predictive yield, particularly for men under age 50 and for women.

Key words

abdominal aortic aneurysmultrasonographyphysical examinationutilization and cost-effectivenessreferral and consultation

Copyright information

© Blackwell Science, Inc. 1996