Liang Ying, Nie Shao-Ping, Wang Xiao, Thomas Ashley, Thompson Elizabeth, Zhao Guan-Qi, Han Jing, Wang Jing, Griffiths Mark J D
Emergency & Critical Care Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Peri-Operative Medicine, Barts Health NHS Trust, London, UK.
J Geriatr Cardiol. 2020 Aug;17(8):510-518. doi: 10.11909/j.issn.1671-5411.2020.08.005.
Intermediate- and high-risk pulmonary embolism (PE) is a life-threatening medical emergency with high morbidity and mortality. Many of the treatment options for PE involve clinicians from multiple disciplines. Pulmonary Embolism Response Teams (PERTs) have been developed to coordinate the multidisciplinary team of clinicians to streamline the decision making process and develop individualised treatment plans in a timely fashion. The first PERT was established in 2012 and subsequently multiple centres worldwide have introduced this model for the management of intermediate- and high-risk PE. In this review, we evaluate the organisational structure and algorithms of different PERT services and compare data from pre- and post-PERT services to determine the impact of PERT on outcomes. We consider the cost and time implications of this multidisciplinary 24-hour service and suggest areas for further research and review.
中高危肺栓塞(PE)是一种危及生命的医疗急症,发病率和死亡率都很高。PE的许多治疗方案都需要多个学科的临床医生参与。肺栓塞反应团队(PERTs)已被建立起来,以协调多学科临床医生团队,简化决策过程,并及时制定个性化治疗方案。首个PERT于2012年成立,随后全球多个中心引入了这种中高危PE管理模式。在本综述中,我们评估了不同PERT服务的组织结构和算法,并比较了PERT服务前后的数据,以确定PERT对治疗结果的影响。我们考虑了这种多学科24小时服务的成本和时间影响,并提出了进一步研究和综述的领域。