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Overcoming barriers to outpatient management of emergency department patients with acute pulmonary embolism
Author(s) -
Vinson David R.,
Mark Dustin G.,
Ballard Dustin W.
Publication year - 2021
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/acem.14210
Subject(s) - medicine , emergency department , pulmonary embolism , context (archaeology) , emergency medicine , acute care , ambulatory care , medical emergency , health care , nursing , economics , economic growth , paleontology , biology
We commend Westafer and colleagues for their study of home discharge of adults with acute pulmonary embolism (PE) from emergency departments (EDs) across 740 diverse U.S. acute care hospitals.1 They found that outpatient management of ED patients with acute PE in the United States in 2016-2018 was uncommon (4.1%). Among 568 hospitals in the study with 20 PE cases or more, the median proportion of home discharge from the ED was only 3.1% and ranged broadly from 0% to 13.0% at 10th and 90th percentiles.