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British Thoracic Society Guideline for the initial outpatient management of pulmonary embolism (PE)

by Donaldson, James , Kaler, Jasvinder , Tait, Campbell , Preston, Wendy , Howard, Luke S G E , Horner, Daniel , Free, Catherine , O’Dowd, Emma , Davies, Christopher W H , Everett, Bernard , Sheares, Karen , Nelson-Piercy, Catherine , Patel, Raj , Barden, Steven , Condliffe, Robin , Hunter, Laura , Connolly, Vincent

in Anticoagulants / Biomarkers / Cancer / Drug dosages / Embolisms / Health risk assessment / Hospitals / Hypertension / Molecular weight / Pulmonary arteries / Pulmonary embolisms / Substance abuse treatment / Thromboembolism / Thrombosis / Veins & arteries

2018

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British Thoracic Society Guideline for the initial outpatient management of pulmonary embolism (PE)

2018

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2018

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Journal Article

British Thoracic Society Guideline for the initial outpatient management of pulmonary embolism (PE)

Donaldson, James,

Kaler, Jasvinder,

Tait, Campbell,

Preston, Wendy,

Howard, Luke S G E,

Horner, Daniel,

Free, Catherine,

O’Dowd, Emma,

Davies, Christopher W H,

Everett, Bernard,

Sheares, Karen,

Nelson-Piercy, Catherine,

Patel, Raj,

Barden, Steven,

Condliffe, Robin,

Hunter, Laura,

Connolly, Vincent

2018

Overview

Correspondence to Dr Luke S G E Howard, National Pulmonary Hypertension Service, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, W12 0HS, UK; l.howard@imperial.ac.uk Summary of recommendations Outcomes of outpatient care for low-risk pulmonary embolism (PE) Recommendations Patients with PE should be assessed for suitability for management as outpatients (OPs). Chronic kidney disease (CKD) stages 4 or 5 (estimated glomerular filtration rate (eGFR)<30 mL/min) or severe liver disease. Grade C Where RV dilatation has been identified on CT scanning or echocardiography in patients who are suitable for OP management, consider measuring laboratory cardiac biomarkers (B-type natriuretic peptide (BNP), N-terminal pro B-type natriuretic peptide (NT-proBNP), high-sensitivity troponin I or T (hsTnI or hsTnT)). If no consultant is available, then patients may be reviewed by a senior trainee (ST3 or above; ST4 in the case of Emergency Medicine) by a staff grade or similar substantive career grade doctor, advanced nurse practitioner or clinical nurse specialist designated to undertake this role within the department with consultant advice available.

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Publisher

BMJ Publishing Group LTD

Subject

/ Cancer

/ Health risk assessment

/ Hospitals