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Outpatient treatment of pulmonary embolism: A single center 4-year experience

The American Journal of Emergency Medicine Aug 26, 2020

Huyler A, MacVane CZ, Strout T, et al. - Given the association of pulmonary embolus (PE) with significant utilization of health resources, researchers attempted to characterize the population, treatment strategies, complications, and outcomes linked with outpatient management of PE following treatment in the ED. In this retrospective health records survey, a 4-year cohort of patients presenting with PE who were discharged to home was examined. They assessed data from 151 patients revealing discharge of 78% (118/151) of patients directly to home; discharge of 19% (28/151) was made following ED clinical decision unit observation. Forty percent of cases (61/151) received treatment with a novel oral anticoagulant. Based on outcomes, outpatient management was identified as safe and effective for the large majority in this cohort of patients with PE. Only a few immediate and 30-day complications were reported.

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