What’s the best treatment setting for stable PE patients?
The answer seems to be the outpatient setting. Here’s why.
PRACTICE CHANGER
Manage patients with acute pulmonary embolism (PE) who are hemodynamically stable in the outpatient setting to decrease adverse events—regardless of their initial risk category.1
STRENGTH OF RECOMMENDATION
B: Based upon a good-quality retrospective cohort propensity score analysis.
Roy PM, Corsi DJ, Carrier M, et al. Net clinical benefit of hospitalization versus outpatient management of patients with acute pulmonary embolism. J Thromb Haemost. 2017;15:685-694.
CHALLENGES TO IMPLEMENTATION
Insurance coverage may present an issue
Medication coverage of direct oral anticoagulants and low molecular weight heparin may present a barrier to patients treated in the outpatient setting who have no insurance or are insured by certain insurance carriers.
ACKNOWLEDGEMENT
The PURLs Surveillance System was supported in part by Grant Number UL1RR024999 from the National Center For Research Resources, a Clinical Translational Science Award to the University of Chicago. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center For Research Resources or the National Institutes of Health.
