Experiencia del equipo de respuesta rápida al tromboembolismo de pulmón.
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| Title: | Experiencia del equipo de respuesta rápida al tromboembolismo de pulmón. |
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| Alternate Title: | Experience of a pulmonary embolism response team. |
| Authors: | Báez, Milagros1 (AUTHOR) mmilagrosbaez@gmail.com, Gutiérrez, Victoria1 (AUTHOR), Bottaro, Federico1 (AUTHOR), Ceresetto, José2 (AUTHOR), Noya, Agustín3 (AUTHOR), Álvarez, José3 (AUTHOR), Leiva, Gustavo3 (AUTHOR), Gingins, Mauro4 (AUTHOR), de Tita, Mariano4 (AUTHOR), Devetter, Federico4 (AUTHOR), Smith, Christian4 (AUTHOR), Avaca, Horacio4 (AUTHOR), Gutiérrez, Facundo5 (AUTHOR), Salvado, Alejandro6 (AUTHOR), Maldonado, Lorena6 (AUTHOR), Chertcoff, Julio6 (AUTHOR), Pagnini, Cecilia7 (AUTHOR), Carvajal, Felipe7 (AUTHOR), Comignani, Pablo7 (AUTHOR), Machain, Alejandro8 (AUTHOR) |
| Source: | Medicina (Buenos Aires). sep/oct2025, Vol. 85 Issue 5, p930-938. 9p. |
| Subjects: | PULMONARY embolism, RAPID response teams, SAFETY, HOSPITAL administration, CARDIOLOGY, ANTICOAGULANTS, DEATH rate, TREATMENT effectiveness |
| Abstract (English): | Introduction: The management of pulmonary embo lism (PE) requires a complex approach. To organize and improve the efficiency of care between different medical specialties, the Pulmonary Embolism Rapid Response Team (PERT) was developed. The aim is to describe the experience of the PERT team at the British Hospital. Materials and methods: Retrospective, observational study. Data were collected from patients diagnosed with PE from October 2021 to October 2024. The analysis in cluded those who required team activation. Results: There were 64 PERT team activations due to PE. 53% corresponded to high intermediate-risk PE, 22% high-risk, 22% low intermediate-risk, and 3% low-risk. 47% were treated only with anticoagulation. The 50% received other therapies, 25% required IVC filter placement, 34% systemic thrombolytics and 34% were managed by the interventional cardiology team, 7% re ceived both systemic and local fibrinolytics. The 30-day mortality rate for PE was 3%. There were 7 hemorrhagic complications. The discharge medication was 28% direct oral anticoagulants, 21% enoxaparin, and 49% vitamin K antagonists. Two percent did not receive anticoagulation due to contraindications. Discussion: We present the initial results obtained by our PERT team, with the aim of collecting data and thus guiding future attention to these complex cases. There are currently some works that demonstrate that the actions of these teams managed to reduce mortality. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: El manejo del tromboembolismo de pulmón (TEP) requiere un abordaje multidisciplinario. Para organizar y mejorar la eficiencia del cuidado, y optimizar el enfoque entre especialidades, se desarrolló el Equipo de Respuesta Rápida a la Embolia Pulmonar (PERT). El objetivo es describir la experiencia del equipo PERT del Hospital Británico. Materiales y métodos: Estudio de diseño retrospecti vo, observacional. Se recopilaron datos de 241 pacientes con diagnóstico de TEP desde octubre de 2021 hasta octubre de 2024. Se analizaron aquellos que requirieron activación del equipo. Resultados: Hubo 64 activaciones del equipo PERT por TEP. El 53% se clasificó como TEP de riesgo inter medio-alto, 22% alto riesgo, 22% riesgo intermedio-bajo y 3% bajo riesgo. El 47% de los pacientes fueron tratados únicamente con anticoagulación. El 50% recibió otras terapias; 25% requirió la colocación de un filtro de la vena cava inferior, 34% recibió trom bolíticos sistémicos y 34% fue manejado por hemo dinamia, 7% recibió tanto fibrinolíticos sistémicos como locales. La mortalidad por TEP a los 30 días fue del 3%. Ocurrieron 7 complicaciones hemorrágicas. La medicación al egreso fue, 28% anticoagulantes orales directos, 21% enoxaparina y 49% antagonistas de la vitamina K. El 2% no recibió anticoagulación por contraindicación. Discusión: Presentamos los resultados iniciales ob tenidos por nuestro equipo PERT, con el objetivo de recopilar datos y de esa forma orientar la atención fu tura de estos casos complejos. Existen en la actualidad, algunos trabajos que demuestran que el accionar de estos equipos logró disminuir la mortalidad. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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| Abstract: | Introduction: The management of pulmonary embo lism (PE) requires a complex approach. To organize and improve the efficiency of care between different medical specialties, the Pulmonary Embolism Rapid Response Team (PERT) was developed. The aim is to describe the experience of the PERT team at the British Hospital. Materials and methods: Retrospective, observational study. Data were collected from patients diagnosed with PE from October 2021 to October 2024. The analysis in cluded those who required team activation. Results: There were 64 PERT team activations due to PE. 53% corresponded to high intermediate-risk PE, 22% high-risk, 22% low intermediate-risk, and 3% low-risk. 47% were treated only with anticoagulation. The 50% received other therapies, 25% required IVC filter placement, 34% systemic thrombolytics and 34% were managed by the interventional cardiology team, 7% re ceived both systemic and local fibrinolytics. The 30-day mortality rate for PE was 3%. There were 7 hemorrhagic complications. The discharge medication was 28% direct oral anticoagulants, 21% enoxaparin, and 49% vitamin K antagonists. Two percent did not receive anticoagulation due to contraindications. Discussion: We present the initial results obtained by our PERT team, with the aim of collecting data and thus guiding future attention to these complex cases. There are currently some works that demonstrate that the actions of these teams managed to reduce mortality. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00257680 |
