MedicalResearch.com Interview with:
Joseph Bledsoe MD, FACEP
Clinical Assistant Professor of Emergency Medicine
Director of Research
Department of Emergency Medicine
Intermountain Medical Center
Murray, UT 84157
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Patients with blood clots in the lungs (pulmonary embolism) (PE) are routinely admitted to the hospital for blood thinning medications in the United States. However, evidence from other countries has shown that with appropriate risk stratification patients may be safe for outpatient treatment for their PE.
Our study is the largest prospective management study in the US to evaluate home treatment of patients with acute pulmonary embolism. We enrolled 200 patients and after risk stratification with the PE severity index score, leg ultrasounds and echocardiograms performed in the emergency department, patients were treated with blood thinning medications at home with routine outpatient follow up.
During the 90 day follow up period we found only one patient suffered a bleeding event after a traumatic injury, without any cases of recurrent symptomatic blood clots or death. Continue reading