RT Journal Article
SR Electronic
T1 Follow-up of acute pulmonary embolism (PE): need for dedicated PE clinics and multidisciplinary team (MDT) meetings?
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA507
DO 10.1183/13993003.congress-2021.PA507
VO 58
IS suppl 65
A1 Oakden, Viktoria
A1 Cooper, Richard
A1 Lim, Shi
A1 Inani, Mohit
A1 Jameel, Rida
A1 Waseem, Tayyab
A1 Zahran, Mohamed
A1 Isiaka, Zofirah
A1 Ganaie, Muhammad
YR 2021
UL http://erj.ersjournals.com/content/58/suppl_65/PA507.abstract
AB Background: PE is a common cause of morbidity and mortality. The European Society of Cardiology (ESC) guidelines propose follow up for all PE patients 3-6 months after the acute event.Aims: To assess follow-up arrangements based on clinical risk and identify need for standardised care pathways.Methods: This was a retrospective observational study of adult patients discharged with a diagnosis of acute PE from 25/01/19 to 31/07/19 at a UK teaching hospital. Obstetric patients and patients who died within 3 months were excluded from analysis. Risk was stratified using ESC guidelines and follow-up approach reviewed.Results: A total of 300 patients were included in analysis; 5 (2%) were high risk, 52 (17%) intermediate high risk, 154 (51%) intermediate low risk, 81 (27%) low risk and 8 (3%) not risk stratified. Overall, 194 patients (65%) were followed up. Median time to follow up was 69 days.The rates of follow up for high risk PE was 100%, intermediate high risk 69% (36/52), intermediate low risk 63% (97/154) and low risk 68% (55/81).There were 143 (48%) provoked PE and 157 (52%) unprovoked PE events. Follow up rate for provoked PE was 51% (73/143) and 77% (121/157) for unprovoked PE.Length of anticoagulation was reviewed in 163/194 (84%) patients, chronic thromboembolic pulmonary hypertension screening addressed in 126/194 (65%) and thrombophilia screening performed in 21/194 (11%).Conclusions: A significant proportion of higher risk and unprovoked PE patients were not followed up. A designated PE MDT comprising of physicians, haematologists and specialist nurses to discuss all discharges would allow clinicians to streamline post PE follow up and improve outcomes.FootnotesCite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA507.This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).