NDLI: Évaluation de l'acceptabilité du point de vue du médecin traitant et de la faisabilité de la prise en charge ambulatoire de l'embolie pulmonaire.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Payerols-Ternisien, A. Meusy, A. Terminet, A. Pontal, D. Bourdin, A. Vergés, M. Sebbane, M. Georgesu, V. Aubas, P. Quéré, I. Mercier, G. Galanaud, J-P
Spatial Coverage	France
Description	Author Affiliation: Payerols-Ternisien A ( Département de médecine interne, centre d'investigation clinique, CHU de Montpellier, 34000 Montpellier, France. Electronic address: aurelie.ternisien@hotmail.fr.); Meusy A ( Département de l'information médicale, CHRU de Montpellier, 34000 Montpellier, France.); Terminet A ( Service de gériatrie, CHU de Montpellier, 34000 Montpellier, France.); Pontal D ( Département de médecine interne, centre d'investigation clinique, CHU de Montpellier, 34000 Montpellier, France.); Bourdin A ( Service de pneumologie, CHU de Montpellier, 34000 Montpellier, France.); Vergés M ( Service de cardiologie, CHU de Montpellier, 34000 Montpellier, France.); Sebbane M ( Service d'accueil des urgences, CHU de Montpellier, 34000 Montpellier, France.); Georgesu V ( Département de l'information médicale, CHRU de Montpellier, 34000 Montpellier, France.); Aubas P ( Département de l'information médicale, CHRU de Montpellier, 34000 Montpellier, France.); Quéré I ( Département de médecine interne, centre d'investigation clinique, CHU de Montpellier, 34000 Montpellier, France.); Mercier G ( Département de l'information médicale, CHRU de Montpellier, 34000 Montpellier, France.); Galanaud JP ( Département de médecine interne, centre d'investigation clinique, CHU de Montpellier, 34000 Montpellier, France.)
Abstract	BACKGROUND: In France, initial management of pulmonary embolism (PE) is performed in the hospital setting. The latest international guidelines suggest that PE at low risk of mortality can be treated in the ambulatory care setting. This means that ambulatory care pathways and general practitioner (GP) opinions concerning such a change in practice need to be determined. OBJECTIVES: To determine: (1) rate of patients eligible for an ambulatory management of their PE and reasons for hospitalization of PE at low risk of mortality; (2) acceptability for GPs of PE home care and patient's desired care pathway. METHODS: Two-part prospective observational study conducted in Montpellier University Hospital from May 2012 to August 2013: (1) in-hospital study including all consecutive patients with non-hospital acquired PE; (2) telephonic survey on PE patient's ambulatory care pathway conducted among GPs. RESULTS: In-hospital study: 99.1% (n=211) of included patients were hospitalized and only 14.1% (n=30) had all criteria for home care. Patient's pathway survey: 68.3% (n=112) of GPs, particularly those aged 40-54 years and those who had already managed patients alone after hospital discharge, were in favour of home care for PE. One hundred and thirty-nine (84.8%) GPs wanted a collaborative management with an expert thrombosis physician and an outpatient follow-up visit at one week. CONCLUSION: Few patients managed at Montpellier University Hospital are eligible for ambulatory management of their PE. GPs have a favorable opinion of home care for PE if it is conducted in collaboration with an expert thrombosis physician.
File Format	HTM / HTML
ISSN	03980499
Issue Number	4
Volume Number	40
e-ISSN	22148116
Journal	Journal des Maladies Vasculaires
Language	French
Publisher	Elsevier
Publisher Date	2015-07-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Discipline Vascular Diseases Home Care Services Pulmonary Embolism Therapy Adult Aftercare Ambulatory Care Attitude Of Health Personnel Comorbidity Feasibility Studies Female France General Practitioners Psychology Humans Inpatients Length Of Stay Male Middle Aged Patient Acceptance Of Health Care Patient Selection Patients Prospective Studies Referral And Consultation Telephone English Abstract Journal Article Observational Study
Content Type	Text
Resource Type	Article
Subject	Cardiology and Cardiovascular Medicine

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