Little Change Seen in Rates of ED Discharge After Acute Pulmonary Embolism
By Elana Gotkine HealthDay Reporter
MONDAY, Jan. 29, 2024 -- For patients with acute pulmonary embolism (PE), the rates of discharge from the emergency department were stable between 2012 and 2020, according to a study published online Jan. 30 in the Annals of Internal Medicine.
Nathan W. Watson, from Harvard Medical School in Boston, and colleagues examined whether the proportion of discharges from emergency departments for acute PE changed from 2012 to 2020 in a serial cross-sectional analysis. There were approximately 1,635,300 visits for acute PE between 2012 and 2020.
The researchers found that the emergency department discharge rates remained constant over time, with rates of 38.2 and 33.4 percent between 2012 and 2014 and between 2018 and 2020, respectively (adjusted risk ratio, 1.01 per year; 95 percent confidence interval, 0.89 to 1.14). None of the baseline characteristics predicted an increased likelihood of emergency department discharge, including established risk stratification scores; however, the likelihood of receiving oral anticoagulation at discharge was increased for patients at teaching hospitals and those with private insurance. Overall, 35.9, 33.1, and 34.8 percent of patients who were considered low-risk according to their Pulmonary Embolism Severity Index (PESI) class, simplified PESI score, and hemodynamic stability, respectively, were discharged from the emergency department setting.
"Our findings show that outpatient management seems to have remained relatively unchanged during that period and that a considerable proportion of low-risk patients are still managed with inpatient hospitalization," the authors write.
Abstract/Full Text (subscription or payment may be required)
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
© 2024 HealthDay. All rights reserved.
Posted January 2024
Read this next
Earlier Receipt of Whole Blood Transfusion Improves Survival
WEDNESDAY, Feb. 7, 2024 -- For patients presenting with severe hemorrhage, receipt of whole blood (WB) transfusion earlier within the first 24 hours of emergency department...
Rate of Venous Thromboembolism Increased With Cancer Surgery
FRIDAY, Feb. 2, 2024 -- The rate of venous thromboembolism is increased in association with cancer surgery, according to a study published online Feb. 2 in JAMA Network...
Cerebral Small Vessel Disease Predicts Intracranial Hemorrhage With Antithrombotics
MONDAY, Jan. 8, 2024 -- Cerebral small vessel disease (SVD) predicts intracranial hemorrhage for patients with cerebrovascular or cardiovascular disease taking antithrombotic...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.