SGEM#51: Home (Discharging Patients with Acute Pulmonary Emboli Home from the Emergency Department)

Studi estratti dal podcast di Dr. Ken Milne

• 2012Outpatient Management of Newly Diagnosed Pulmonary Embolism: Systematic ReviewAnticoagulation & AntithromboticsIn 777 adults with acute symptomatic pulmonary embolism, home treatment rather than hospitalization showed no VTE- or bleeding-related deaths at 90 days.
• 2007Computed Tomographic Pulmonary Angiography vs Ventilation-Perfusion Lung Scanning in Patients With Suspected Pulmonary EmbolismImaging & DiagnosticsIn 1417 patients with suspected pulmonary embolism, CT pulmonary angiography was non-inferior to ventilation-perfusion scanning for 3-month venous thromboembolism.
• 2010Ambulatory management of pulmonary embolism: a pragmatic evaluationAnticoagulation & AntithromboticsIn 639 patients with pulmonary embolism, outpatient management, rather than hospital admission, gave low 3-month recurrence and bleeding rates.
• 2005PESIImaging & DiagnosticsIn15,531 inpatients with acute pulmonary embolism,an 11-item clinical scorestratified30-day all-cause mortalityintofive risk classes.
• 2011Rethinking Testing for Pulmonary Embolism: Less Is MoreImaging & DiagnosticsIn 10,000 modelled PERC-negative emergency patients, further PE testing caused 36 deaths while preventing 6, versus no further testing.