ArticleVascular medicine (London, England)2026
Initiation of an emergency department discharge pathway for low-risk patients with venous thromboembolism: Factors impact real-world practice.
Article in Vascular medicine (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundWe initiated an institutional pathway for the outpatient treatment of low-risk patients with venous thromboembolism (VTE) and evaluated emergency department (ED) discharge rates and safety outcomes before and after pathway initiation. This pathway was augmented by the ability to schedule a 1-week follow-up with an outpatient provider in a vascular medicine clinic, a 30-day direct oral anticoagulant (DOAC) prescription, and anticoagulant education facilitated by the ED clinical pharmacist.
methodsA retrospective cohort of 1260 patients with VTE presenting to the ED between July 1, 2014, and June 30, 2018, was identified in the electronic health record (EHR) by a natural language processing algorithm scanning radiology reports for the presence or absence of pulmonary embolism (PE) or deep venous thrombosis (DVT). We compared patients who presented 2 years before and 2 years after pathway initiation (July 1, 2016) using a regression model to examine the independent effect of ED pathway initiation on discharge rates.
resultsPatients with VTE before (
conclusionsInitiation of a VTE discharge pathway was complicated by an increase in the proportion of patients with recent hospitalizations and prior PE in the postpathway period, which was associated with lower odds of ED discharge.
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