Department of Respiratory Medicine, Glenfield Hospital, Leicester, UK.
Thorax. 2015 Mar;70(3):291-3. doi: 10.1136/thoraxjnl-2014-205513. Epub 2014 Apr 24.
Having established an ambulatory service for patients with suspected and proven PE, we reviewed our outcomes. All patients referred from June 2010 to May 2012 were analysed. Of 971 patients referred, 905 underwent complete assessment (66 admitted as ineligible). 754 (77.7%) patients were discharged and required no follow-up. 96 (10.6%) patients had PE confirmed of whom 70 (72.9%) were managed as outpatients. 14 (1.6%) patients have died since attending the clinic; no death was related to PE. This audit shows that ambulatory investigation and management of selected low risk patients with suspected PE is safe and reduces hospital admissions.
在为疑似和确诊的肺栓塞患者建立了门诊服务后，我们对治疗结果进行了回顾分析。对 2010 年 6 月至 2012 年 5 月期间所有转来的患者进行了分析。在 971 例转来的患者中，905 例接受了完整评估（66 例因不符合条件而被排除）。754 例（77.7%）患者出院且无需随访。96 例（10.6%）患者被确诊为肺栓塞，其中 70 例（72.9%）接受了门诊治疗。自就诊以来，有 14 例（1.6%）患者死亡；没有与肺栓塞相关的死亡。本审计表明，对疑似肺栓塞的选择低风险患者进行门诊调查和管理是安全的，可以减少住院人数。
