Search results for "Pulmonary Embolism"
Almost two-thirds of low-risk pulmonary embolism patients hospitalized after ED visit
This trend remained stable in the U.S. between 2012 and 2020, despite research indicating the safety of outpatient management in this population.
https://acphospitalist.acponline.org/archives/2024/01/31/almost-two-thirds-of-low-risk-pulmonary-embolism-patients-hospitalized-after-ed-visit.htm
31 Jan 2024
Analysis highlights poor outcomes, inconsistent treatment of catastrophic PE
Pulmonary embolism (PE) patients with hemodynamic collapse had a 42.1% risk of mortality, according to data from the Pulmonary Embolism Response Team registry. Only 13.3% of such patients underwent extracorporeal membrane oxygenation and 25% got systemic thrombolysis.
https://acphospitalist.acponline.org/archives/2024/01/10/analysis-highlights-poor-outcomes-inconsistent-treatment-of-catastrophic-pe.htm
10 Jan 2024
30-day mortality after PE improved from 2000 to 2020, regardless of cancer status
Mortality in the 31 to 365 days after pulmonary embolism (PE) has shown less improvement than shorter-term mortality, particularly in patients with recent cancer, who saw no change, a Danish study found.
https://acphospitalist.acponline.org/archives/2023/12/06/30-day-mortality-after-pe-improved-from-2000-to-2020-regardless-of-cancer-status.htm
6 Dec 2023
Catheter-directed thrombolysis reduced mortality versus anticoagulation alone in PE
For patients with acute pulmonary embolism, including those at intermediate risk, anticoagulation carried a lower risk of major bleeding than catheter-directed or systemic thrombolysis, a recent review also found.
https://acphospitalist.acponline.org/archives/2023/10/25/catheter-directed-thrombolysis-reduced-mortality-versus-anticoagulation-alone-in-pe.htm
25 Oct 2023
Use of CT pulmonary angiography for suspected PE rose from 2015 to 2019
The findings of a retrospective analysis suggest that the development and validation of clinical decision rules for diagnosing pulmonary embolism (PE) didn't affect use of CT pulmonary angiography in European EDs, according to the authors.
https://acphospitalist.acponline.org/archives/2023/05/24/use-of-ct-pulmonary-angiography-for-suspected-pe-rose-from-2015-to-2019.htm
24 May 2023
Two studies offer insight on using age, d-dimer, algorithms for diagnosing PE
For patients with suspected pulmonary embolism (PE), a meta-analysis found that pretest probability-dependent d-dimer thresholds were the most efficient strategy, while a trial found that the YEARS rule with an age-adjusted d-dimer cutoff was noninferior to a conventional strategy.
https://acphospitalist.acponline.org/weekly/archives/2021/12/15/1.htm
15 Dec 2021
Novel bleeding risk score estimated risk of early major bleeding in acute PE
The newly developed and validated risk score uses three factors to predict bleeding after pulmonary embolism (PE): syncope, anemia, and renal dysfunction.
https://acphospitalist.acponline.org/weekly/archives/2021/07/14/3.htm
14 Jul 2021
Catheter-directed thrombolysis may improve certain PE outcomes
A study in Taiwan found lower all-cause mortality and recurrence risk in patients with pulmonary embolism (PE) who were treated with catheter-directed versus systemic thrombolysis.
https://acphospitalist.acponline.org/weekly/archives/2021/04/07/3.htm
7 Apr 2021
PE risk assessment tools modestly effective for estimating mortality, study finds
The Pulmonary Embolism Severity Index (PESI), the simplified PESI (sPESI), the Bova score, and a risk assessment method from the European Society of Cardiology were evaluated.
https://acphospitalist.acponline.org/weekly/archives/2020/09/02/3.htm
2 Sep 2020
EDs may be overtesting patients with suspected PE, study finds
According to an analysis of testing for suspected pulmonary embolism (PE) at EDs in two states, a minority of patients who underwent CT pulmonary angiography also had a d-dimer performed on the same ED visit.
https://acphospitalist.acponline.org/weekly/archives/2020/01/29/5.htm
29 Jan 2020
Hospitals' volume of PE treatment associated with 30-day PE-related mortality
Patients treated for pulmonary embolism (PE) at hospitals that saw at least 40 PEs per year had about half the rate of mortality from PE as patients treated at hospitals that saw fewer than 15 PEs per year.
https://acphospitalist.acponline.org/weekly/archives/2019/08/07/2.htm
7 Aug 2019
PE rarely found in patients presenting to ED with syncope
A new international study found that pulmonary embolism (PE) was detected at presentation in fewer than 2% of stable syncope patients seen in the ED, and during two-year follow-up, it occurred in fewer than 1%.
https://acphospitalist.acponline.org/weekly/archives/2019/08/07/1.htm
7 Aug 2019
YEARS algorithm adaptation for pregnant women helped avoid CT scans for suspected PE
Before performing CT pulmonary angiography, researchers tried to rule pulmonary embolism (PE) in or out based on signs of deep venous thrombosis, hemoptysis, likelihood of PE, d-dimer levels, and compression ultrasonography.
https://acphospitalist.acponline.org/weekly/archives/2019/03/27/1.htm
27 Mar 2019
Web-based decision support tool may help determine safety of outpatient PE management
The tool was added to the patient care workflow in the ED after the diagnosis of pulmonary embolism (PE) was confirmed but before site-of-care decision making was completed.
https://acphospitalist.acponline.org/weekly/archives/2018/11/14/4.htm
14 Nov 2018
Clinical decision support may be best strategy to reduce imaging for pulmonary embolism
In a systematic review of 17 studies, electronic clinical decision support was associated with a reduction in the use of imaging ranging between 8.3% and 25.4%, a rise in diagnostic yield of 3.4% to 4.4%, and an increase in appropriate ordering of 18% to 19%.
https://acphospitalist.acponline.org/weekly/archives/2018/01/10/3.htm
10 Jan 2018
Algorithm appears to safely exclude PE, reduce need for imaging
The YEARS algorithm combines three components of the original Wells clinical decision rule (clinical signs of deep venous thrombosis, hemoptysis, and likely diagnosis of pulmonary embolism) with varying D-dimer thresholds.
https://acphospitalist.acponline.org/weekly/archives/2017/06/07/3.htm
7 Jun 2017
1 in 6 patients admitted for syncope may have PE
Researchers in Italy performed a systematic workup for pulmonary embolism (PE) in patients who visited the emergency department for a first episode of syncope and were admitted to one of 11 hospitals.
https://acphospitalist.acponline.org/weekly/archives/2016/10/26/1.htm
26 Oct 2016
Age-adjusting D-dimer results improves predictive ability with Wells rule
The percentage of patients in whom pulmonary embolism could be ruled out without imaging was increased with use of the age-adjusted cutoff (33% vs. 28%), the analysis found.
https://acphospitalist.acponline.org/weekly/archives/2016/05/18/2.htm
18 May 2016
PE hospitalizations, vena cava filter placements both on the rise
Mortality among Medicare patients hospitalized with pulmonary embolism dropped significantly between 1999 and 2010, regardless of whether they received an inferior vena cava filter.
https://acphospitalist.acponline.org/weekly/archives/2016/03/02/1.htm
2 Mar 2016
ACP issues best practice advice on evaluating suspected PE
The evidence-based expert advice is intended for both inpatient and outpatient physicians, and includes topics such as how to act on D-dimer results.
https://acphospitalist.acponline.org/weekly/archives/2015/09/30/1.htm
30 Sep 2015