Outpatient treatment of pulmonary embolism – a single-center experience
Background: Pulmonary embolism (PE) is a common diagnosis in an emergency department. It also represents a large share of patients admitted to hospital wards. Patients with PE can be risk-stratified and discharged early from the emergency department. This results in better availability of hospita...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2022-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/407677 |
| _version_ | 1797206645756919808 |
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| author | Jasmin Hamzić Ivan Gornik |
| author_facet | Jasmin Hamzić Ivan Gornik |
| author_sort | Jasmin Hamzić |
| collection | DOAJ |
| description | Background: Pulmonary embolism (PE) is a common diagnosis in an emergency
department. It also represents a large share of patients admitted to hospital wards. Patients with PE
can be risk-stratified and discharged early from the emergency department. This results in better availability
of hospital beds for other patients and a significant reduction of treatment costs for the healthcare
system. This paper aims to describe the protocols used in our emergency department, with special
emphasis on risk stratification, for adverse events and bleeding risk, treatment strategies, and outcomes
for this type of protocol.
Materials and methods: This paper is a retrospective analysis of patients discharged from the emergency
department in a of two-year period (2020-2021) with a low-risk pulmonary embolism.
Results: We have included in this study 42 patients discharged after a short-term observation from
the emergency department (<24h) or short-term hospitalization; <24h). Ninety-one percent of patients
were discharged with direct oral anticoagulant as a treatment for PE. We did not notice any
adverse events (hemorrhage, progression of PE, or major cardiovascular issues).
Conclusion: In the cohort of patients with PE, early discharge and outpatient treatment was safe
and effective, with lower healthcare costs and almost no adverse events for patients. |
| first_indexed | 2024-04-24T09:10:19Z |
| format | Article |
| id | doaj.art-419e73fc325049bfa853198d9054ccd6 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:10:19Z |
| publishDate | 2022-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-419e73fc325049bfa853198d9054ccd62024-04-15T17:54:36ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512022-01-0161.Supplement 1384310.20471/acc.2022.61.s1.06Outpatient treatment of pulmonary embolism – a single-center experienceJasmin Hamzić0Ivan Gornik1Emergency Department, University Hospital Center Zagreb, CroatiaEmergency Department, University Hospital Center Zagreb, CroatiaBackground: Pulmonary embolism (PE) is a common diagnosis in an emergency department. It also represents a large share of patients admitted to hospital wards. Patients with PE can be risk-stratified and discharged early from the emergency department. This results in better availability of hospital beds for other patients and a significant reduction of treatment costs for the healthcare system. This paper aims to describe the protocols used in our emergency department, with special emphasis on risk stratification, for adverse events and bleeding risk, treatment strategies, and outcomes for this type of protocol. Materials and methods: This paper is a retrospective analysis of patients discharged from the emergency department in a of two-year period (2020-2021) with a low-risk pulmonary embolism. Results: We have included in this study 42 patients discharged after a short-term observation from the emergency department (<24h) or short-term hospitalization; <24h). Ninety-one percent of patients were discharged with direct oral anticoagulant as a treatment for PE. We did not notice any adverse events (hemorrhage, progression of PE, or major cardiovascular issues). Conclusion: In the cohort of patients with PE, early discharge and outpatient treatment was safe and effective, with lower healthcare costs and almost no adverse events for patients.https://hrcak.srce.hr/file/407677pulmonary embolismemergency departmentearly dischargeoutpatient treatment |
| spellingShingle | Jasmin Hamzić Ivan Gornik Outpatient treatment of pulmonary embolism – a single-center experience Acta Clinica Croatica pulmonary embolism emergency department early discharge outpatient treatment |
| title | Outpatient treatment of pulmonary embolism – a single-center experience |
| title_full | Outpatient treatment of pulmonary embolism – a single-center experience |
| title_fullStr | Outpatient treatment of pulmonary embolism – a single-center experience |
| title_full_unstemmed | Outpatient treatment of pulmonary embolism – a single-center experience |
| title_short | Outpatient treatment of pulmonary embolism – a single-center experience |
| title_sort | outpatient treatment of pulmonary embolism a single center experience |
| topic | pulmonary embolism emergency department early discharge outpatient treatment |
| url | https://hrcak.srce.hr/file/407677 |
| work_keys_str_mv | AT jasminhamzic outpatienttreatmentofpulmonaryembolismasinglecenterexperience AT ivangornik outpatienttreatmentofpulmonaryembolismasinglecenterexperience |