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    Emergency management of incidental pulmonary embolism (IPE)

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    Authors
    Font, C.
    Cooksley, Timothy J
    Ahn, S.
    Rapoport, B.
    Escalante, C.
    Affiliation
    Department of Internal Medicine, Hospital Clinic, Barcelona, Spain
    Issue Date
    2022
    
    Metadata
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    Abstract
    Venous thrombo-embolic (VTE) disease is a common cause of complications in patients with cancer and is the second most common cause of death in oncology patients other than the malignant disease. Whilst symptomatic VTE comprises the majority of such presentations to an emergency department (ED), incidental pulmonary embolism (IPE) is an increasingly frequent reason for attendance. Many studies report that the consequences of IPE do not differ significantly from those with symptomatic presentations and thus most guidelines recommend using the same approach. The complexity of treatment in cancer patients due to increased prevalence of co-morbidities, higher risk of bleeding, abnormal platelet and renal function, greater risk of VTE recurrence, and medications with the risk of anticoagulant interaction are consistent across patients with symptomatic and IPE. One of the initial challenges of the management of IPE is the design of a pathway that provides both patients and clinicians with a seamless journey from the radiological diagnosis of IPE to their initial clinical workup and management. Increased access to ambulatory care has successfully reduced ED utilisation and improved clinical outcomes in high-risk non-oncological populations, such as those with IPE. In this clinical review, we consider IPE management, its workup, the conundrums it may present for emergency physicians and the need to consider emergency ambulatory care for this growing cohort of patients.
    Citation
    Font C, Cooksley T, Ahn S, Rapoport B, Escalante C. Emergency management of incidental pulmonary embolism (IPE). Emergency Cancer Care. 2022;1(1):7. PubMed PMID: 35844667. Pubmed Central PMCID: PMC9207846. Epub 2022/07/19. eng.
    Journal
    Emergency Cancer Care
    URI
    http://hdl.handle.net/10541/625436
    DOI
    10.1186/s44201-022-00004-7
    PubMed ID
    35844667
    Additional Links
    https://dx.doi.org/10.1186/s44201-022-00004-7
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1186/s44201-022-00004-7
    Scopus Count
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