Back to Search Start Over

Characteristics and Outcomes of Patients Consulted by a Multidisciplinary Pulmonary Embolism Response Team: 5-Year Experience.

Authors :
Pietrasik, Arkadiusz
Gąsecka, Aleksandra
Kurzyna, Paweł
Wrona, Katarzyna
Darocha, Szymon
Banaszkiewicz, Marta
Zieliński, Dariusz
Zajkowska, Dominika
Smyk, Julia Maria
Rymaszewska, Dominika
Jasińska, Karolina
Wasilewski, Marcin
Wolański, Rafał
Procyk, Grzegorz
Szwed, Piotr
Florczyk, Michał
Wróbel, Krzysztof
Grabowski, Marcin
Torbicki, Adam
Kurzyna, Marcin
Source :
Journal of Clinical Medicine. Jul2022, Vol. 11 Issue 13, p3812-N.PAG. 14p.
Publication Year :
2022

Abstract

(1) Background: Pulmonary embolism (PE) is the third most frequent acute cardiovascular condition worldwide. PE response teams (PERTs) have been created to facilitate treatment implementation in PE patients. Here, we report on the 5-year experience of PERT operating in Warsaw, Poland, with regard to the characteristics and outcomes of the consulted patients. (2) Methods: Patients diagnosed with PE between September 2017 and December 2021 were included in the study. Clinical and treatment data were obtained from medical records. Patient outcomes were assessed in-hospital, at a 1- and 12-month follow-up. (3) Results: There were 235 PERT activations. The risk of early mortality was low in 51 patients (21.8%), intermediate–low in 83 (35.3%), intermediate–high in 80 (34.0%) and high in 21 (8.9%) patients. Anticoagulation alone was the most frequently administered treatment in all patient subgroups (altogether 84.7%). Systemic thrombolysis (47.6%) and interventional therapy (52%) were the prevailing treatment options in high-risk patients. The in-hospital mortality was 6.4%. The adverse events during 1-year follow-up included five deaths, two recurrent VTE and two minor bleeding events. (4) Conclusions: Our initial 5-year experience showed that the activity of the local PERT facilitated patient-tailored decision making and the access to advanced therapies, with subsequent low overall mortality and treatment complication rates, confirming the benefits of PERT implementation. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
20770383
Volume :
11
Issue :
13
Database :
Academic Search Index
Journal :
Journal of Clinical Medicine
Publication Type :
Academic Journal
Accession number :
157997025
Full Text :
https://doi.org/10.3390/jcm11133812