Clinical Characteristics, Management, and Outcomes of Patients Diagnosed With Acute Pulmonary Embolism in the Emergency Department
Why the study?
No data had quantified the demographics, clinical features, management, and outcomes of outpatients diagnosed with PE in the ED in a large, multicenter U.S. study.
Population
1,880 patients with confirmed acute PE enrolled from 22 U.S. EDs
Design
Multicenter registry study
Follow-up
30 days
Authors
Discussion
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Member takes
Implication
ED PE associated with low mortality under current practices; leaves open optimal testing, admission, and discharge criteria pending prospective study.
Structured PICO
P
Population
1,880 patients with confirmed acute pulmonary embolism (PE) or high clinical suspicion prompting anticoagulation before imaging, enrolled from 22 U.S. emergency departments.
O
Outcome
Mortality (PE-specific, hemorrhage, and all-cause 30-day mortality)hard clinical
Patients diagnosed with acute PE in U.S. emergency departments have a low overall mortality rate, but initial medical management with anticoagulation for severe PE appears poorly standardized.
Cite This Study
Pollack et al. (2011) studied this question.