Why the study?
Does ambulatory investigation and management safely reduce hospital admissions in selected low-risk patients with suspected PE?
Does ambulatory investigation and management safely reduce hospital admissions in selected low-risk patients with suspected PE?
Ambulatory investigation and management of selected low-risk patients with suspected PE is safe and effectively reduces hospital admissions.
Supports ambulatory PE management in selected low-risk patients; hypothesis-generating and requires RCTs before practice change.
Having established an ambulatory service for patients with suspected and proven PE, we reviewed our outcomes. All patients referred from June 2010 to May 2012 were analysed. Of 971 patients referred, 905 underwent complete assessment (66 admitted as ineligible). 754 (77.7%) patients were discharged and required no follow-up. 96 (10.6%) patients had PE confirmed of whom 70 (72.9%) were managed as outpatients. 14 (1.6%) patients have died since attending the clinic; no death was related to PE. This audit shows that ambulatory investigation and management of selected low risk patients with suspected PE is safe and reduces hospital admissions.
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Hillis et al. (1983) studied this question.
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