Early-term outcomes of the pulmonary embolism response team

  • Yucel Ozen University of Health Sciences, Sancaktepe Sehit Professor Doctor Ilhan Varank Education and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
  • Murat Ugur Health Sciences University, Sancaktepe Sehit Professor Doctor Ilhan Varank Education and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
  • Ismail Cihan Ozbek University of Health Sciences, Sancaktepe Sehit Professor Doctor Ilhan Varank Education and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
  • Emre Yalcinkaya University of Health Sciences, Sancaktepe Sehit Professor Doctor Ilhan Varank Education and Research Hospital, Department of Cardiology, Istanbul, Turkey
Keywords: Catheter-Directed Thrombolysis, Pulmonary Embolism, Pulmonary Embolism Response Team, Systemic Thrombolysis

Abstract

Objective: Treatment of pulmonary embolism varies according to the different clinical presentations. Pulmonary embolism response teams (PERT) might improve outcomes of pulmonary embolism with faster evaluation and increased usage of advanced treatment methods. In this study, the effects of PERT for the treatment of pulmonary embolism were investigated.

Methods: In this retrospectively analyzed study, patients diagnosed with PE in our hospital between March 1st, 2019 and February 28th, 2022 were included. Patients’ medical records were evaluated according to the treatment procedures and early outcomes.

Results: Ninety-eight patients with pulmonary embolism were evaluated by the PERT during the study period. The mean age was 62.8+16.4 years and 59% were male. All patients with intermediate-low risk were treated medically. About 59.2% of the patients were hospitalized. The rate of catheter-directed thrombolysis was 37.8% (n=37). Systemic thrombolytic therapy was performed on two patients. One patient with a metastatic brain tumor was treated with low-molecular-weight heparin. Catheter-directed procedures were performed in 37 patients. The time from diagnosis to reperfusion was 243 minutes. There was one pericardial effusion and one mortality. In the 30-day follow- up there was no re-hospitalization and mortality.

Conclusion: PERT might help early triage and treatment of patients with pulmonary embolism. Experienced specialists in this team might contribute to clinical recovery by performing advanced treatment methods and decreasing the risk of chronic thromboembolic pulmonary hypertension in the long term.

doi: https://doi.org/10.12669/pjms.38.8.6541

How to cite this:
Ozen Y, Ugur M, Ozbek IC, Yalcinkaya E. Early-term outcomes of the pulmonary embolism response team. Pak J Med Sci. 2022;38(8):---------. doi: https://doi.org/10.12669/pjms.38.8.6541

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2022-09-16
How to Cite
Ozen, Y., Ugur, M., Ozbek, I. C., & Yalcinkaya, E. (2022). Early-term outcomes of the pulmonary embolism response team. Pakistan Journal of Medical Sciences, 38(8). https://doi.org/10.12669/pjms.38.8.6541
Section
Original Articles