Pulmonary embolism response teams: Changing the paradigm in the care for acute pulmonary embolism. (16th August 2022)

• Record Type: Journal Article
• Authors: Porres‐Aguilar, Mateo; Rosovsky, Rachel P.; Rivera‐Lebron, Belinda N.; Kaatz, Scott; Mukherjee, Debabrata; Anaya‐Ayala, Javier E.; Jimenez, David; Jerjes‐Sánchez, Carlos
• Is Part Of: Journal of thrombosis and haemostasis. Volume 20:Number 11(2022)
• Page Start: 2457
• Page End: 2464
• Publication Date: 2022-08-16
• Subjects: outcomes -- prognosis -- pulmonary embolism -- pulmonary embolism response teams -- therapeutic tools -- venous thromboembolism; Thrombosis -- Periodicals; Hemostasis -- Periodicals; Blood coagulation disorders -- Periodicals; 616.1
• DOI: 10.1111/jth.15832
• Languages: English
• ISSNs: 1538-7933

Abstract

Abstract: Pulmonary embolism response teams (PERTs) have emerged as a multidisciplinary, multispecialty team of experts in the care of highly complex symptomatic acute pulmonary embolism (PE), with a centralized unique activation process, providing rapid multimodality assessment and risk stratification, formulating the best individualized diagnostic and therapeutic approach, streamlining the care in challenging clinical case scenarios (e.g., intermediate–high risk and high‐risk PE), and facilitating the implementation of the recommended therapeutic strategies on time. PERTs are currently changing how complex acute PE cases are approached. The structure, organization, and function of a given PERT may vary from hospital to hospital, depending on local expertise, specific resources, and infrastructure for a given academic hospital center. Current emerging data demonstrate the value of PERTs in improving time to PE diagnosis; shorter time to initiation of anticoagulation reducing hospital length of stay; increasing use of advanced therapies without an increase in bleeding; and in some reports, decreasing mortality. Importantly, PERTs are positively impacting outcomes by changing the paradigm of care for acute PE through global adoption by the health‐care community.