Investigating and managing suspected pulmonary embolism in an outpatient setting: the Leicester experience.
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.
Department of Respiratory Medicine, Glenfield Hospital, Leicester, UK.
Yusuf
Y
Vali
Department of Respiratory Medicine, Glenfield Hospital, Leicester, UK.
Rahul
R
Ladwa
Department of Respiratory Medicine, Glenfield Hospital, Leicester, UK.
Elaine
E
Bailie
Department of Respiratory Medicine, Glenfield Hospital, Leicester, UK.
Jonathan
J
Bennett
Department of Respiratory Medicine, Glenfield Hospital, Leicester, UK.
Catherine
C
Free
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000191:economics; D000792:Angiography; D004739:England; D005260:Female; D017048:Health Care Costs; D006760:Hospitalization / Q000191:economics; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D018579:Patient Selection; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000191:economics / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
Pulmonary Embolism