Risk stratification for clinical severity of pulmonary embolism in patients with cancer: a narrative review and MASCC clinical guidance for daily care.
Diego Muñoz-GuglielmettiTim CooksleyWon Young KimCarmen BeatoMario AramberriCarmen EscalanteCarme Fontnull nullPublished in: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer (2022)
Pulmonary embolism (PE) is a leading cause of morbidity and mortality in patients with cancer. The clinical presentation and outcomes of PE range from an acute life-threatening condition requiring intensive care to a mild symptomatic condition associated with favorable outcomes and potentially candidate for early hospital discharge. The wide clinical spectrum of PE has led to the development of risk stratification models aimed at the triage of patients in emergency care departments and optimizing the utilization of health care resources. Incidental or unsuspected PE (UPE), detected during routine staging computed tomography scans, make up a significant proportion of this cohort among the oncology population. The present narrative review is aimed at examining the currently available PE risk assessment models developed for the general population and for patients with cancer including UPE. We include general recommendations for the daily care of patients with cancer-related PE and hypothesize on the factors that would potentially favor hospitalization with early discharge or ambulatory management in this setting.
Keyphrases
- pulmonary embolism
- healthcare
- computed tomography
- palliative care
- inferior vena cava
- risk assessment
- quality improvement
- emergency department
- end stage renal disease
- physical activity
- newly diagnosed
- blood pressure
- ejection fraction
- affordable care act
- magnetic resonance imaging
- chronic kidney disease
- clinical practice
- positron emission tomography
- liver failure
- pain management
- lymph node
- type diabetes
- heavy metals
- intensive care unit
- human health
- weight loss
- magnetic resonance
- respiratory failure
- mechanical ventilation
- dual energy
- skeletal muscle
- glycemic control
- aortic dissection