Rosovsky Rachel, Zhao Ken, Sista Akhilesh, Rivera-Lebron Belinda, Kabrhel Christopher
Division of Hematology & Oncology Department of Medicine Massachusetts Hospital Boston Massachusetts.
Division of Interventional Radiology Department of Radiology New York University Langone Medical Center New York New York.
Res Pract Thromb Haemost. 2019 Jun 9;3(3):315-330. doi: 10.1002/rth2.12216. eCollection 2019 Jul.
Pulmonary embolism (PE) is a major cause of morbidity and mortality in the United States. Although new therapeutic tools and strategies have recently been developed for the diagnosis and treatment of patients with PE, the outcomes for patients who present with massive or high-risk PE remain dismal. To address this crisis, pulmonary embolism response teams (PERTs) are being created around the world in an effort to immediately and simultaneously engage multiple specialists to determine the best course of action and coordinate the clinical care for patients with acute PE. The scope of this review is to describe the PERT model and purpose, present the structure and organization, examine the available evidence for efficacy and usefulness, and propose future directions for research that is needed to demonstrate the value of PERT and determine if this multidisciplinary approach represents a new standard of care.
在美国,肺栓塞(PE)是发病和死亡的主要原因。尽管最近已开发出新的治疗工具和策略用于PE患者的诊断和治疗,但出现大面积或高危PE的患者的治疗结果仍然不佳。为应对这一危机,世界各地正在组建肺栓塞应对小组(PERT),以便立即同时召集多名专家,确定最佳行动方案并协调急性PE患者的临床护理。本综述的范围是描述PERT模型和目的,介绍其结构和组织,审查其有效性和实用性的现有证据,并提出未来研究方向,以证明PERT的价值,并确定这种多学科方法是否代表了一种新的护理标准。