Implementation of a regional multidisciplinary pulmonary embolism response team: PERT-POZ initial 1-year experience

Abstract

According to the current European Society of Cardiology guidelines, it is mandatory to initially assess the risk of early death based on clinical and hemodynamic criteria to determine management strategy. 4 Depending on estimated patients' mortality risk, a variety of therapeutic approaches are now INTRODUCTION Pulmonary embolism (PE) is one of the most common cardiovascular diseases, with an estimated global incidence rate of 39 to 115 per 100 000 person-years. 1,2 Pulmonary embolism may be life-threatening with an estimated 30-day mortality rate of 10% to 30%.

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

“…However, most of them had central PE, which caused concern for referring physicians and prompted them to consult PERT members. Similar conclusions could be drawn from a more detailed analysis conducted by Sławek-Szmyt et al [19]. Nevertheless, similar to other registries, intermediate-risk patients constituted the predominant group of patients [25][26][27][28].…”

“…The structure and organization of PERTs have been described in detail previously [19][20][21]. In brief, referring physicians activate PERTs by contacting a PERT coordinator via a 24-hour/7-day-a-week telephone number.…”

“…The strategy consists of anticoagulation alone or systemic thrombolysis, surgical embolectomy (SE), or CDT [10][11][12][13][14][15]. Several PERTs have already been established in Poland [17][18][19]. An agreement between Polish PERTs was signed in 2019, called the Polish PERT Initiative, whose mission is to facilitate cooperation among centers with a mutual exchange of experiences, standardize PE clinical care, and collect and share data on the diagnosis and treatment of PE [20].…”

Continuous Aspiration Thrombectomy in High- and Intermediate-High-Risk Pulmonary Embolism in Real-World Clinical Practice

“…The precise PE patients risk stratification is presented on Figure 1 . The details concerning organizing and functioning of our institutional PERT were published elsewhere [ 16 ]. In brief, PERT recommendation included AC therapy alone or advanced therapy defined as implementation of the AC together with some kind of invasive strategy including CDT or pharmacomechanical thrombectomy (CDT along with low dose of the thrombolysis with the alteplase), ST, SE, or venous thrombectomy (VT).…”

Clinical and linguistic validation of a Polish version of the Pulmonary Embolism Quality of Life Questionnaire: a disease-specific quality of life questionnaire for patients after acute pulmonary embolism

“…Acute venous thromboembolism involving deep vein thrombosis and/or pulmonary embolism (PE) has a broad array of early and long-term complications including recurrent episodes, bleeding complications related to anticoagulant treatment, persisting dyspnea or poor physical capacity, post-thrombotic syndrome, and chronic thromboembolic pulmonary hypertension. The underestimated sequala is decreased quality of life (QoL) [1][2][3]. Questionnaires for assessing QoL after an episode of acute PE were developed in several languages, however, there is none in Polish.…”