Pulmonary embolism response teams: Changing the paradigm in the care for acute pulmonary embolism.
Mateo Porres-AguilarRachel P RosovskyBelinda N Rivera-LebronScott KaatzDebabrata MukherjeeJavier E Anaya-AyalaDavid JiménezCarlos Jerjes-SanchezPublished in: Journal of thrombosis and haemostasis : JTH (2022)
Pulmonary embolism response teams (PERTs) have emerged as a multidisciplinary, multispecialty team of experts in the care of highly complex symptomatic acute pulmonary embolism (PE), with a centralized unique activation process, providing rapid multimodality assessment and risk stratification, formulating the best individualized diagnostic and therapeutic approach, streamlining the care in challenging clinical case scenarios (e.g., intermediate-high risk and high-risk PE), and facilitating the implementation of the recommended therapeutic strategies on time. PERTs are currently changing how complex acute PE cases are approached. The structure, organization, and function of a given PERT may vary from hospital to hospital, depending on local expertise, specific resources, and infrastructure for a given academic hospital center. Current emerging data demonstrate the value of PERTs in improving time to PE diagnosis; shorter time to initiation of anticoagulation reducing hospital length of stay; increasing use of advanced therapies without an increase in bleeding; and in some reports, decreasing mortality. Importantly, PERTs are positively impacting outcomes by changing the paradigm of care for acute PE through global adoption by the health-care community.
Keyphrases
- pulmonary embolism
- healthcare
- liver failure
- quality improvement
- inferior vena cava
- palliative care
- respiratory failure
- drug induced
- aortic dissection
- affordable care act
- pain management
- electronic health record
- machine learning
- type diabetes
- venous thromboembolism
- social media
- weight loss
- acute respiratory distress syndrome