- Joined
- May 3, 2004
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Just curious what practice patterns you guys are adopting based on the current lit regarding low risk PE's.
I'm noticing more and more studies utilizing risk stratification tools such as PESI to identify low risk PEs that can be discharged home on anti-coagulation but I honestly haven't really incorporated aggressive discharge of PEs into my practice quite yet though I'm meeting more and more ED docs who do. It usually involved medicine being consulted with a hospitalist insisting on discharging them on NOAC/DOAC (30d free card) and close f/u. When I trained, 100% PEs got admitted.
I knew the day was coming but I guess I just thought it would be 5 or 10 more years before it started to become mainstream standard of care. Honestly, I've been catching myself up with a current lit search on the subject and some of the studies look pretty good.
Are you guys sending many of these home from the ED? Are you using PESI? If not, how are you specifically risk stratifying them in the ED prior to discharge and what EBL are you using?
I'm noticing more and more studies utilizing risk stratification tools such as PESI to identify low risk PEs that can be discharged home on anti-coagulation but I honestly haven't really incorporated aggressive discharge of PEs into my practice quite yet though I'm meeting more and more ED docs who do. It usually involved medicine being consulted with a hospitalist insisting on discharging them on NOAC/DOAC (30d free card) and close f/u. When I trained, 100% PEs got admitted.
I knew the day was coming but I guess I just thought it would be 5 or 10 more years before it started to become mainstream standard of care. Honestly, I've been catching myself up with a current lit search on the subject and some of the studies look pretty good.
Are you guys sending many of these home from the ED? Are you using PESI? If not, how are you specifically risk stratifying them in the ED prior to discharge and what EBL are you using?