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. |
|---|---|
| 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] |
| Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
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| Header | DbId: lth DbLabel: MedicLatina An: 189688852 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Experiencia del equipo de respuesta rápida al tromboembolismo de pulmón. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Experience of a pulmonary embolism response team. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Báez%2C+Milagros%22">Báez, Milagros</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> mmilagrosbaez@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Gutiérrez%2C+Victoria%22">Gutiérrez, Victoria</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bottaro%2C+Federico%22">Bottaro, Federico</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ceresetto%2C+José%22">Ceresetto, José</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Noya%2C+Agustín%22">Noya, Agustín</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Álvarez%2C+José%22">Álvarez, José</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Leiva%2C+Gustavo%22">Leiva, Gustavo</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gingins%2C+Mauro%22">Gingins, Mauro</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Tita%2C+Mariano%22">de Tita, Mariano</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Devetter%2C+Federico%22">Devetter, Federico</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Smith%2C+Christian%22">Smith, Christian</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Avaca%2C+Horacio%22">Avaca, Horacio</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gutiérrez%2C+Facundo%22">Gutiérrez, Facundo</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Salvado%2C+Alejandro%22">Salvado, Alejandro</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maldonado%2C+Lorena%22">Maldonado, Lorena</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chertcoff%2C+Julio%22">Chertcoff, Julio</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pagnini%2C+Cecilia%22">Pagnini, Cecilia</searchLink><relatesTo>7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carvajal%2C+Felipe%22">Carvajal, Felipe</searchLink><relatesTo>7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Comignani%2C+Pablo%22">Comignani, Pablo</searchLink><relatesTo>7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Machain%2C+Alejandro%22">Machain, Alejandro</searchLink><relatesTo>8</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Medicina+%28Buenos+Aires%29%22">Medicina (Buenos Aires)</searchLink>. sep/oct2025, Vol. 85 Issue 5, p930-938. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22PULMONARY+embolism%22">PULMONARY embolism</searchLink><br /><searchLink fieldCode="DE" term="%22RAPID+response+teams%22">RAPID response teams</searchLink><br /><searchLink fieldCode="DE" term="%22SAFETY%22">SAFETY</searchLink><br /><searchLink fieldCode="DE" term="%22HOSPITAL+administration%22">HOSPITAL administration</searchLink><br /><searchLink fieldCode="DE" term="%22CARDIOLOGY%22">CARDIOLOGY</searchLink><br /><searchLink fieldCode="DE" term="%22ANTICOAGULANTS%22">ANTICOAGULANTS</searchLink><br /><searchLink fieldCode="DE" term="%22DEATH+rate%22">DEATH rate</searchLink><br /><searchLink fieldCode="DE" term="%22TREATMENT+effectiveness%22">TREATMENT effectiveness</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: 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] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: 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] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 9 StartPage: 930 Subjects: – SubjectFull: PULMONARY embolism Type: general – SubjectFull: RAPID response teams Type: general – SubjectFull: SAFETY Type: general – SubjectFull: HOSPITAL administration Type: general – SubjectFull: CARDIOLOGY Type: general – SubjectFull: ANTICOAGULANTS Type: general – SubjectFull: DEATH rate Type: general – SubjectFull: TREATMENT effectiveness Type: general Titles: – TitleFull: Experiencia del equipo de respuesta rápida al tromboembolismo de pulmón. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Báez, Milagros – PersonEntity: Name: NameFull: Gutiérrez, Victoria – PersonEntity: Name: NameFull: Bottaro, Federico – PersonEntity: Name: NameFull: Ceresetto, José – PersonEntity: Name: NameFull: Noya, Agustín – PersonEntity: Name: NameFull: Álvarez, José – PersonEntity: Name: NameFull: Leiva, Gustavo – PersonEntity: Name: NameFull: Gingins, Mauro – PersonEntity: Name: NameFull: de Tita, Mariano – PersonEntity: Name: NameFull: Devetter, Federico – PersonEntity: Name: NameFull: Smith, Christian – PersonEntity: Name: NameFull: Avaca, Horacio – PersonEntity: Name: NameFull: Gutiérrez, Facundo – PersonEntity: Name: NameFull: Salvado, Alejandro – PersonEntity: Name: NameFull: Maldonado, Lorena – PersonEntity: Name: NameFull: Chertcoff, Julio – PersonEntity: Name: NameFull: Pagnini, Cecilia – PersonEntity: Name: NameFull: Carvajal, Felipe – PersonEntity: Name: NameFull: Comignani, Pablo – PersonEntity: Name: NameFull: Machain, Alejandro IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: sep/oct2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 00257680 Numbering: – Type: volume Value: 85 – Type: issue Value: 5 Titles: – TitleFull: Medicina (Buenos Aires) Type: main |
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