开发有效的肺栓塞反应网络的蓝图。
Blueprint for developing an effective pulmonary embolism response network.
机构信息
Cardiology Department, Hospital Garcia de Orta, Almada, Portugal.
Cardiology Department, Hospital Garcia de Orta, Almada, Portugal; CCUL, CAML, University of Lisbon, Lisbon, Portugal.
出版信息
Rev Port Cardiol. 2023 Jun;42(6):491-501. doi: 10.1016/j.repc.2022.06.017. Epub 2023 Mar 7.
INTRODUCTION
Acute pulmonary embolism (PE) is a major cause of morbidity and mortality in Portugal. It is the third most common cause of cardiovascular death after stroke and myocardial infarction. However, the management of acute PE remains poorly standardized, and there is a lack of access to mechanical reperfusion when indicated.
METHODS AND RESULTS
This working group analyzed the current clinical guidelines for the use of percutaneous catheter-directed treatment in this setting and proposed a standardized approach for severe forms of acute PE. This document also proposes a methodology for the coordination of regional resources in order to create an effective PE response network, based on the hub-and-spoke organization design.
CONCLUSION
This model can be applied at the regional level, but it is desirable to extend it to the national level.
简介
急性肺栓塞（PE）是葡萄牙发病率和死亡率的主要原因。它是中风和心肌梗死之后心血管死亡的第三大常见原因。然而，急性 PE 的管理仍然没有得到很好的标准化，并且在需要时缺乏机械再灌注的途径。
方法和结果
这个工作组分析了目前关于在这种情况下使用经皮导管定向治疗的临床指南，并为急性 PE 的严重形式提出了一种标准化方法。本文还提出了一种协调区域资源的方法，以便根据枢纽辐射组织设计创建一个有效的 PE 应对网络。
结论
这种模式可以在区域层面应用，但最好将其扩展到国家层面。
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