Outpatient Management of Patients With Pulmonary Embolism
Authors: James F.J. Green, Vinodkumar Patil
Journal: Annals of Internal Medicine (2019)

Letters6 August 2019Outpatient Management of Patients With Pulmonary EmbolismJames F.J. Green and Vinodkumar PatilJames F.J. GreenBarts and the London School of Medicine and Dentistry, London, United Kingdom (J.F.G.)Search for more papers by this author and Vinodkumar PatilQueens Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, and Barts and the London School of Medicine and Dentistry, London, United Kingdom (V.P.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0207 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Vinson and colleagues (1) state that home discharge of selected patients with acute PE who will be managed in an outpatient setting is safe (2) and recommended by international society guidelines (3). As responsible clinicians, we believe that this research will help promote a change in practice that will lead to fewer admissions and thus benefit patients and hospitals.Of note, the authors showed that home discharge increased from 27.7% to 41.1% in patients categorized by the PESI score as low risk but also from 10.9% to 19.3% in those categorized as high risk. They describe the ...References1. Vinson DR, Mark DG, Chettipally UK, et al; eSPEED Investigators of the KP CREST Network. Increasing safe outpatient management of emergency department patients with pulmonary embolism. A controlled pragmatic trial. Ann Intern Med. 2018;169:855-65. [PMID: 30422263]. doi:10.7326/M18-1206 LinkGoogle Scholar2. Vinson DR, Zehtabchi S, Yealy DM. Can selected patients with newly diagnosed pulmonary embolism be safely treated without hospitalization? A systematic review. Ann Emerg Med. 2012;60:651-62. [PMID: 22944455] doi:10.1016/j.annemergmed.2012.05.041 CrossrefMedlineGoogle Scholar3. Howard LS, Barden S, Condliffe R, et al. British Thoracic Society Guideline for the initial outpatient management of pulmonary embolism. BMJ Open Respir Res. 2018;5:e000281. [PMID: 29955362] doi:10.1136/bmjresp-2018-000281 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Barts and the London School of Medicine and Dentistry, London, United Kingdom (J.F.G.)Queens Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, and Barts and the London School of Medicine and Dentistry, London, United Kingdom (V.P.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L19-0207. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIncreasing Safe Outpatient Management of Emergency Department Patients With Pulmonary Embolism David R. Vinson , Dustin G. Mark , Uli K. Chettipally , Jie Huang , Adina S. Rauchwerger , Mary E. Reed , James S. Lin , Mamata V. Kene , David H. Wang , Dana R. Sax , Tamara S. Pleshakov , Ian D. McLachlan , Cyrus K. Yamin , Andrew R. Elms , Hilary R. Iskin , Ridhima Vemula , Donald M. Yealy , Dustin W. Ballard , and Outpatient Management of Patients With Pulmonary Embolism David R. Vinson , Dustin G. Mark , and Dustin W. Ballard Outpatient Management of Patients With Pulmonary Embolism Pierre-Marie Roy , Guy Meyer , Olivier Sanchez , and Menno Huisman Metrics 6 August 2019Volume 171, Issue 3Page: 227-228KeywordsClinical decision support systemsDecision makingDisclosureInpatientsOutpatient clinicsOutpatientsPulmonary embolism ePublished: 6 August 2019 Issue Published: 6 August 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...