Document Detail

Outpatient imaging for pulmonary embolism may only be suitable for a minority.
MedLine Citation:
PMID:  22194405     Owner:  NLM     Status:  Publisher    
In this study we model the impact of introducing outpatient investigation of pulmonary thrombo-embolism (PTE) to the acute medical unit (AMU) using the Pulmonary Embolism Severity Index (PESI) decision rule. Specifically, we ask what proportion of patients requiring imaging could be investigated without admission, and how many bed-days this would save.  We obtained records for all medical patients who had imaging for PTE in a six-month period at a large teaching hospital with a 40-bedded AMU. The patients were categorized into suitability for outpatient investigation using a combination of the PESI rule and practical considerations. Three hundred and fifty-nine separate presentations were identified. From available records, 31 patients (9.2%, 95% confidence interval [CI] 6.6-12.8%) had no contraindications to outpatient management. These patients used a total of 79 bed-days in the six-month period, or 1.1% (95% CI 0.8-1.5%) of the maximum AMU bed occupancy. Around 10% of patients who require imaging for suspected PTE could be triaged to outpatient investigation using the PESI tool. Adopting this method to triage patients of ambulatory care, would have only a modest effect on acute medical bed occupancy, but remains a valid option for motivated patients in the low-risk category.
A Cameron; C Ogilvie; S Teckchandani; G McKay
Related Documents :
22148095 - Hypotension in patients administered indigo carmine containing impurities -a case report-.
21996705 - Titrated sedation with propofol for medical thoracoscopy: a feasibility and safety study.
6861055 - Hypokalemic metabolic alkalosis caused by surreptitious vomiting: report of four cases.
7243125 - Vaginal agenesis in association with gonadal dysgenesis.
22332735 - Sorafenib rechallenge in patients with metastatic renal cell carcinoma.
16445495 - Tinea capitis in eastern nepal.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-22
Journal Detail:
Title:  Scottish medical journal     Volume:  -     ISSN:  0036-9330     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2983335R     Medline TA:  Scott Med J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Consultant Physician, Jubilee Building, Glasgow Royal Infirmary, 84 Castle Street, Glasgow, Scotland, G4 0SF, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Walk or run? Is high-intensity exercise more effective than moderate intensity exercise at reducing ...
Next Document:  An all-silicon passive optical diode.