Triaging acute pulmonary embolism for home treatment by Hestia or simplified PESI criteria: the HOME-PE randomized trial.
Pierre-Marie RoyAndrea PenalozaOlivier HugliFrederikus Albertus KlokArmelle ArnouxAntoine EliasFrancis CouturaudLuc-Marie JolyRaphaëlle LopezLaura M FaberMarie Daoud-EliasBenjamin PlanquetteJérôme BokobzaDamien ViglinoJeannot SchmidtHenry JuchetIsabelle MaheFrits MulderMagali BartiauxRosen CrenThomas MoumnehIsabelle QuereNicolas FalvoKarine MontaclairDelphine DouilletCharlotte SteinierStephan V HendriksYgal BenhamouTali-Anne SzwebelGilles PernodNicolas DublanchetFrançois-Xavier LapebieNicolas JavaudAlexandre GhuysenMustapha SebbaneGilles ChatellierGuy MeyerDavid JimenezMenno V HuismanOlivier Sancheznull nullPublished in: European heart journal (2021)
For triaging PE patients, the strategy based on the Hestia rule and the strategy based on sPESI had similar safety and effectiveness. With either tool complemented by the overruling of the physician-in-charge, more than a third of patients were treated at home with a low incidence of complications.
Keyphrases
- pulmonary embolism
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- primary care
- prognostic factors
- peritoneal dialysis
- systematic review
- randomized controlled trial
- inferior vena cava
- patient reported outcomes
- acute respiratory distress syndrome
- replacement therapy
- hepatitis b virus
- respiratory failure
- extracorporeal membrane oxygenation