Evidence map›Paper›PMID 34950930›Full record

ArticleJournal of the American College of Emergency Physicians open2021

A clinical decision framework to guide the outpatient treatment of emergency department patients diagnosed with acute pulmonary embolism or deep vein thrombosis: Results from a multidisciplinary consensus panel.

Christopher Kabrhel, David R Vinson, Alice Marina Mitchell, Rachel P Rosovsky, Anna Marie Chang, Jackeline Hernandez-Nino, Stephen J Wolf

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Outpatient versus inpatient treatment for acute pulmonary embolism.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Disposition of emergency department patients with acute pulmonary embolism after ambulance arrival.Journal of the American College of Emergency Physicians open · 2023
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 1 country.

Christopher KabrhelDepartment of Emergency Medicine, Center for Vascular Emergencies Massachusetts General Hospital, Harvard Medical School Boston Massachusetts USA.ORCID https://orcid.org/0000-0002-8699-7176
David R VinsonDepartment of Emergency Medicine, Kaiser Permanente Division of Research and the CREST Network, Oakland, CA Kaiser Permanente Roseville Medical Center Roseville California USA.
Alice Marina MitchellDepartment of Emergency Medicine, Richard L. Roudebush VAMC Indiana University School of Medicine Indianapolis Indiana USA.
Rachel P RosovskyDivision of Hematology Department of Medicine Massachusetts General Hospital, Harvard Medical School Boston Massachusetts USA.
Anna Marie ChangDepartment of Emergency Medicine Thomas Jefferson University Hospitals Philadelphia Pennsylvania USA.
Jackeline Hernandez-NinoDepartment of Emergency Medicine Indiana University School of Medicine Indianapolis Indiana USA.
Stephen J WolfDepartment of Emergency Medicine Denver Health and University of Colorado School of Medicine Denver Colorado USA.
Harvard University · USIndiana University School of MedicineKaiser Permanente Roseville Medical Center · USRichard L. Roudebush VA Medical Center · USThomas Jefferson University Hospital · USUniversity of Colorado Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The outpatient treatment of select emergency department patients with acute pulmonary embolism (PE) or deep vein thrombosis (DVT) has been shown to be safe, cost effective and associated with high patient satisfaction. Despite this, outpatient PE and DVT treatment remains uncommon. To address this, the American College of Emergency Physicians assembled a multidisciplinary team of content experts to provide evidence-based recommendations and practical advice to help clinicians safely treat patients with low-risk PE and DVT without hospitalization. The emergency clinician must stratify the patient's risk of clinical decompensation due to their PE or DVT as well as their risk of bleeding due to anticoagulation. The clinician must also select and start an anticoagulant and ensure that the patient has access to the medication in a timely manner. Reliable follow-up is critical, and the patient must also be educated about signs or symptoms that should prompt a return to the emergency department. To facilitate access to these recommendations, the consensus panel also created 2 web-based "point-of-care tools."

Indexed as

deep vein thrombosisoutpatientpulmonary embolismtreatmentvenous thromboembolism

Identifiers

PMID34950930
PMCPMC8673564
OpenAlexW4200498948

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.