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Characteristics and Outcomes of Patients Consulted by a Multidisciplinary Pulmonary Embolism Response Team: 5-Year Experience

(1) Background: Pulmonary embolism (PE) is the third most frequent acute cardiovascular condition worldwide. PE response teams (PERTs) have been created to facilitate treatment implementation in PE patients. Here, we report on the 5-year experience of PERT operating in Warsaw, Poland, with regard to...

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Autores principales: Pietrasik, Arkadiusz, Gąsecka, Aleksandra, Kurzyna, Paweł, Wrona, Katarzyna, Darocha, Szymon, Banaszkiewicz, Marta, Zieliński, Dariusz, Zajkowska, Dominika, Smyk, Julia Maria, Rymaszewska, Dominika, Jasińska, Karolina, Wasilewski, Marcin, Wolański, Rafał, Procyk, Grzegorz, Szwed, Piotr, Florczyk, Michał, Wróbel, Krzysztof, Grabowski, Marcin, Torbicki, Adam, Kurzyna, Marcin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267516/
https://www.ncbi.nlm.nih.gov/pubmed/35807097
http://dx.doi.org/10.3390/jcm11133812
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author Pietrasik, Arkadiusz
Gąsecka, Aleksandra
Kurzyna, Paweł
Wrona, Katarzyna
Darocha, Szymon
Banaszkiewicz, Marta
Zieliński, Dariusz
Zajkowska, Dominika
Smyk, Julia Maria
Rymaszewska, Dominika
Jasińska, Karolina
Wasilewski, Marcin
Wolański, Rafał
Procyk, Grzegorz
Szwed, Piotr
Florczyk, Michał
Wróbel, Krzysztof
Grabowski, Marcin
Torbicki, Adam
Kurzyna, Marcin
author_facet Pietrasik, Arkadiusz
Gąsecka, Aleksandra
Kurzyna, Paweł
Wrona, Katarzyna
Darocha, Szymon
Banaszkiewicz, Marta
Zieliński, Dariusz
Zajkowska, Dominika
Smyk, Julia Maria
Rymaszewska, Dominika
Jasińska, Karolina
Wasilewski, Marcin
Wolański, Rafał
Procyk, Grzegorz
Szwed, Piotr
Florczyk, Michał
Wróbel, Krzysztof
Grabowski, Marcin
Torbicki, Adam
Kurzyna, Marcin
author_sort Pietrasik, Arkadiusz
collection PubMed
description (1) Background: Pulmonary embolism (PE) is the third most frequent acute cardiovascular condition worldwide. PE response teams (PERTs) have been created to facilitate treatment implementation in PE patients. Here, we report on the 5-year experience of PERT operating in Warsaw, Poland, with regard to the characteristics and outcomes of the consulted patients. (2) Methods: Patients diagnosed with PE between September 2017 and December 2021 were included in the study. Clinical and treatment data were obtained from medical records. Patient outcomes were assessed in-hospital, at a 1- and 12-month follow-up. (3) Results: There were 235 PERT activations. The risk of early mortality was low in 51 patients (21.8%), intermediate–low in 83 (35.3%), intermediate–high in 80 (34.0%) and high in 21 (8.9%) patients. Anticoagulation alone was the most frequently administered treatment in all patient subgroups (altogether 84.7%). Systemic thrombolysis (47.6%) and interventional therapy (52%) were the prevailing treatment options in high-risk patients. The in-hospital mortality was 6.4%. The adverse events during 1-year follow-up included five deaths, two recurrent VTE and two minor bleeding events. (4) Conclusions: Our initial 5-year experience showed that the activity of the local PERT facilitated patient-tailored decision making and the access to advanced therapies, with subsequent low overall mortality and treatment complication rates, confirming the benefits of PERT implementation.
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spelling pubmed-92675162022-07-09 Characteristics and Outcomes of Patients Consulted by a Multidisciplinary Pulmonary Embolism Response Team: 5-Year Experience Pietrasik, Arkadiusz Gąsecka, Aleksandra Kurzyna, Paweł Wrona, Katarzyna Darocha, Szymon Banaszkiewicz, Marta Zieliński, Dariusz Zajkowska, Dominika Smyk, Julia Maria Rymaszewska, Dominika Jasińska, Karolina Wasilewski, Marcin Wolański, Rafał Procyk, Grzegorz Szwed, Piotr Florczyk, Michał Wróbel, Krzysztof Grabowski, Marcin Torbicki, Adam Kurzyna, Marcin J Clin Med Article (1) Background: Pulmonary embolism (PE) is the third most frequent acute cardiovascular condition worldwide. PE response teams (PERTs) have been created to facilitate treatment implementation in PE patients. Here, we report on the 5-year experience of PERT operating in Warsaw, Poland, with regard to the characteristics and outcomes of the consulted patients. (2) Methods: Patients diagnosed with PE between September 2017 and December 2021 were included in the study. Clinical and treatment data were obtained from medical records. Patient outcomes were assessed in-hospital, at a 1- and 12-month follow-up. (3) Results: There were 235 PERT activations. The risk of early mortality was low in 51 patients (21.8%), intermediate–low in 83 (35.3%), intermediate–high in 80 (34.0%) and high in 21 (8.9%) patients. Anticoagulation alone was the most frequently administered treatment in all patient subgroups (altogether 84.7%). Systemic thrombolysis (47.6%) and interventional therapy (52%) were the prevailing treatment options in high-risk patients. The in-hospital mortality was 6.4%. The adverse events during 1-year follow-up included five deaths, two recurrent VTE and two minor bleeding events. (4) Conclusions: Our initial 5-year experience showed that the activity of the local PERT facilitated patient-tailored decision making and the access to advanced therapies, with subsequent low overall mortality and treatment complication rates, confirming the benefits of PERT implementation. MDPI 2022-06-30 /pmc/articles/PMC9267516/ /pubmed/35807097 http://dx.doi.org/10.3390/jcm11133812 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pietrasik, Arkadiusz
Gąsecka, Aleksandra
Kurzyna, Paweł
Wrona, Katarzyna
Darocha, Szymon
Banaszkiewicz, Marta
Zieliński, Dariusz
Zajkowska, Dominika
Smyk, Julia Maria
Rymaszewska, Dominika
Jasińska, Karolina
Wasilewski, Marcin
Wolański, Rafał
Procyk, Grzegorz
Szwed, Piotr
Florczyk, Michał
Wróbel, Krzysztof
Grabowski, Marcin
Torbicki, Adam
Kurzyna, Marcin
Characteristics and Outcomes of Patients Consulted by a Multidisciplinary Pulmonary Embolism Response Team: 5-Year Experience
title Characteristics and Outcomes of Patients Consulted by a Multidisciplinary Pulmonary Embolism Response Team: 5-Year Experience
title_full Characteristics and Outcomes of Patients Consulted by a Multidisciplinary Pulmonary Embolism Response Team: 5-Year Experience
title_fullStr Characteristics and Outcomes of Patients Consulted by a Multidisciplinary Pulmonary Embolism Response Team: 5-Year Experience
title_full_unstemmed Characteristics and Outcomes of Patients Consulted by a Multidisciplinary Pulmonary Embolism Response Team: 5-Year Experience
title_short Characteristics and Outcomes of Patients Consulted by a Multidisciplinary Pulmonary Embolism Response Team: 5-Year Experience
title_sort characteristics and outcomes of patients consulted by a multidisciplinary pulmonary embolism response team: 5-year experience
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267516/
https://www.ncbi.nlm.nih.gov/pubmed/35807097
http://dx.doi.org/10.3390/jcm11133812
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