Home at last? Early discharge for acute pulmonary embolism

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Home at last? Early discharge for acute pulmonary embolism.

A ntithrombotic treatment for acute deep vein thrombosis (DVT) or pulmonary embolism (PE) should consist of a therapeutic dose of low molecular weight heparin (LMWH) for o5 days, followed by a vitamin K antagonist for o3 months. LMWH has simplified the initial management of DVT because it is at least as effective and safe as unfractionated heparin and can be administered in fixed subcutaneous d...

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REFERENCES 1 Mediano O, Barceló A, de la Peña M, Gozal D, Agustı́ A, Barbé F. Daytime sleepiness and polysomnographic variables in sleep apnoea patients. Eur Respir J 2007; 30: 110–113. 2 Olson AL, Zwillich C. The obesity hypoventilation syndrome. Am J Med 2005; 118: 948–956. 3 Hida W, Okabe S, Tatsumi K, et al. Nasal continuous positive airway pressure improves quality of life in obesity hypove...

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Early discharge and outpatient treatment of patients admitted for acute pulmonary embolism.

We read with great interest the study by MOORES et al. [1]. The authors propose that patients admitted for acute pulmonary embolism and classified as Pulmonary Embolism Severity Index (PESI) class III could be more appropriately risk-stratified by recalculating the PESI score 48 h after admission (PESI48). 83 out of 304 PESI class III patients were reclassified as low risk (defined as PESI48 cl...

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Home at last

Introduction: Our practice-oriented question was ‘how can the community sector work with their local hospitals to smooth the patient’s transition home from hospital’. Our answer was Home At Last, an innovative hospital-community collaboration in the Greater Toronto, Ontario, Canada. Objective: To ensure that when seniors have had a hospital stay or emergency department visit, they are discharge...

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ژورنال

عنوان ژورنال: European Respiratory Journal

سال: 2007

ISSN: 0903-1936,1399-3003

DOI: 10.1183/09031936.00098007