Pulmonary embolism response team: A multidisciplinary approach to pulmonary embolism treatment. Polish PERT Initiative Report

• DOI: 10.33963/kp.a2021.0130
• Publication Date: 2021-12-29T13:04:39Z
• Authors: Aleksander Araszk...; Marcin Kurzyna; Grzegorz Kopeć; Sylwia Sławek-Szmyt; Katarzyna Wrona; Jakub Stępniewski; Stanisław Jankiewicz; Arkadiusz Pietrasik; Michał Machowski; Szymon Darocha; Tatiana Mularek-K...; Adam Torbicki; Piotr Pruszczyk; Marek Roik
• Keywords: Embolectomy; Multidisciplinary team

A pulmonary embolism response team (PERT) is a multidisciplinary established to improve clinical care for patients with (PE). However, data regarding detailed institutional experience and outcomes from such teams are sparse.We aim assess the frequency of activations, patients' characteristics, PE severity, applied treatments, treated by Polish PERTs.The survey registry was conducted between June 2018 July 2020. All consecutive PERT activations four institutionalized PERTs in Poland were analyzed. Patients' therapies applied, in-hospital evaluated.There 680 unique activations. Most originated Emergency Departments (44.9%), remaining internal medicine/cardiology units (31.1%), surgery/orthopedics (9.1 %), oncology (6.3%), intensive (6.0%), others (2.5%). The origin activation varied significantly among institutions (P <0.01). cases intermediate-high risk (42.9%), whereas high-risk occurred 10% patients. Anticoagulation alone delivered 80.3% patients, 23.3% received at least one advanced therapy: catheter-directed (11.3%), systemic thrombolysis (5.3%), surgical embolectomy (2.4%), vena cava filter placement (3.7%), extracorporeal membrane oxygenation (0.6%). In-hospital mortality whole study group 5.1%, significant differences = 0.01).The type treatment, vary without discrepancies This variation expert centers highlights local PERTs' organizational operational forms.