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miércoles, 6 de julio de 2016

Can you safely discharge a newly diagnosed PE?

The Original Kings of County - By Brian • July 5, 2016 
"Morning Report:
Diagnosis: PE - Is He Discharged Yet? - Written by Dr. Ferrari, Edited by Dr. deSouza
Lets review some literature:
  • Can Selected Patients With Newly Diagnosed Pulmonary Embolism Be Safely Treated Without Hospitalization? A Systematic Review, Vinson 2012
    • Conclusion: The discharge of low-risk patients is feasible & safe
  • Immediate Discharge and Home Treatment With Rivaroxaban of Low-risk Venous Thromboembolism Diagnosed in Two US Emergency Departments: a One-year Preplanned Analysis, Beam 2015
    • Conclusion: Data supports initial outpatient management of VTE with a new oral anticoagulant (NOAC)
  • Antithrombotic Therapy for VTE Disease: Chest Guidelines and Expert Panel Report, 10th Edition February 2016
    • Class I & II PESI patients can be considered for outpatient treatment of PE"