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Title: Trends in the Management and Outcomes of Acute Pulmonary Embolism: Analysis From the RIETE Registry.
Authors: Jiménez, David
de Miguel-Díez, Javier
Guijarro, Ricardo
Trujillo-Santos, Javier
Otero, Remedios
Barba, Raquel
Muriel, Alfonso
Meyer, Guy
Yusen, Roger D
Monreal, Manuel
RIETE Investigators
Keywords: heparin;length of stay;outcomes;prognosis;surgical embolectomy;survival;thrombolysis
metadata.dc.subject.mesh: Acute Disease
Aged, 80 and over
Disease Management
Fibrinolytic Agents
Heparin, Low-Molecular-Weight
Length of Stay
Middle Aged
Outcome and Process Assessment, Health Care
Pulmonary Embolism
Risk Assessment
Survival Analysis
Thrombolytic Therapy
Issue Date: 2016
Abstract: Despite advances in hospital management in recent years, it is not clear whether mortality after acute pulmonary embolism (PE) has decreased over time. This study describes the trends in the management and outcomes of acute symptomatic PE. We identified adults with acute PE enrolled in the registry between 2001 and 2013. We assessed temporal trends in length of hospital stay and use of pharmacological and interventional therapies. Using multivariable regression, we examined temporal trends in risk-adjusted rates of all-cause and PE-related death to 30 days after diagnosis. Among 23,858 patients with PE, mean length of stay decreased from 13.6 to 9.3 days over time (32% relative reduction, p  In a large international registry of patients with PE, improvements in length of stay and changes in the initial treatment were accompanied by a reduction in short-term all-cause and PE-specific mortality.
metadata.dc.identifier.doi: 10.1016/j.jacc.2015.10.060
Appears in Collections:Producción 2020

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