Initiation of an emergency department discharge pathway for low-risk patients with venous thromboembolism: Factors impact real-world practice - Report - MDSpire
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Initiation of an emergency department discharge pathway for low-risk patients with venous thromboembolism: Factors impact real-world practice
Implementation of a Discharge Protocol for Low-Risk VTE Patients in EDs
Background
Venous thromboembolism (VTE) is a significant cardiovascular disorder with increasing incidence rates. Many patients with low-risk pulmonary embolism (PE) are not treated at home despite being eligible, indicating a gap in care. Implementing standardized discharge protocols may enhance outpatient management.
Data Highlights
Metric
Pre-Pathway
Post-Pathway
Patients Discharged
X%
Y%
30-Day Adverse Events
A%
B%
Key Findings
The discharge pathway was initiated on July 1, 2016, to standardize outpatient treatment for low-risk VTE patients.
Approximately 30-50% of patients with PE may be classified as low risk and suitable for discharge.
Risk stratification tools and direct oral anticoagulants (DOACs) were integral to the pathway.
Patient follow-up was scheduled within one week post-discharge to ensure continuity of care.
Adverse events were tracked to evaluate the safety of outpatient management.
Clinical Implications
The implementation of a structured discharge protocol for low-risk VTE patients can facilitate timely outpatient treatment and follow-up. This approach may help optimize resource utilization in emergency departments while ensuring patient safety.
Conclusion
The study underscores the importance of structured discharge protocols in managing low-risk VTE patients, potentially improving patient outcomes and resource efficiency in emergency care settings.
by William B Stubblefield, James Barclay, Jesse O Wrenn, Doug Conway, Scott Nelson, Quinn S Wells, Dario Giuse, Zhao Zuo, Alexandra M Baird, Tyler Barrett, Shi Huang, Karen Beauchamp, Alan B Storrow, Sean P Collins, Joshua A Beckman
Narrative review describes how physiologic stressors accumulate from induction through postintubation care and may contribute to cardiovascular deterioration during airway management.
