肺栓塞的多学科方法和肺栓塞应对小组的作用。

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reports Pub Date : 2024-08-01 Epub Date: 2024-07-04 DOI:10.1007/s11886-024-02084-9
Afaq Motiwala, Hira Tanwir, Alexander Duarte, Syed Gilani, Abe DeAnda, Mohammed Fathi Zaidan, Hani Jneid
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引用次数: 0

摘要

审查目的:急性肺栓塞(PE)是心血管疾病死亡和发病的主要原因,也是医疗系统的主要负担。随着创新性血凝块减少技术的发展,以及正在进行的多中心试验可能彻底改变对肺栓塞患者的治疗,该领域的发展日新月异。然而,目前缺乏强有力的临床试验和指南,往往使管理急性 PE 患者的医生陷入两难境地:肺栓塞应对团队(PERT)是作为一个平台而开发的,它能迅速吸引多位专家参与,提供循证、有序和高效的护理,并帮助解决一些知识空白。一些研究中心对实施 PERT 后的结果进行了调查,结果表明住院时间和重症监护室停留时间缩短,下腔静脉滤器使用率降低,在某些情况下死亡率也有所提高。自 PERT 推出以来,早期研究结果表明,实施 PERT 后有望改善疗效。将人工智能(AI)融入 PERT 也显示出了简化护理和缩短响应时间的前景。还需要进一步的临床试验来检验 PERT 模型对护理服务和临床结果的影响。
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Multidisciplinary Approach to Pulmonary Embolism and the Role of the Pulmonary Embolism Response Team.

Purpose of review: Acute pulmonary embolism (PE) is a leading cause of cardiovascular death and morbidity, and presents a major burden to healthcare systems. The field has seen rapid growth with development of innovative clot reduction technologies, as well as ongoing multicenter trials that may completely revolutionize care of PE patients. However, current paucity of robust clinical trials and guidelines often leave individual physicians managing patients with acute PE in a dilemma.

Recent findings: The pulmonary embolism response team (PERT) was developed as a platform to rapidly engage multiple specialists to deliver evidence-based, organized and efficient care and help address some of the gaps in knowledge. Several centers investigating outcomes following implementation of PERT have demonstrated shorter hospital and intensive-care unit stays, lower use of inferior vena cava filters, and in some instances improved mortality. Since the advent of PERT, early findings demonstrate promise with improved outcomes after implementation of PERT. Incorporation of artificial intelligence (AI) into PERT has also shown promise with more streamlined care and reducing response times. Further clinical trials are needed to examine the impact of PERT model on care delivery and clinical outcomes.

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来源期刊
Current Cardiology Reports
Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
6.20
自引率
2.70%
发文量
209
期刊介绍: The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
期刊最新文献
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