The Massachusetts General Hospital Pulmonary Embolism Response Team (MGH PERT): creation of a multidisciplinary program to improve care of patients with massive and submassive pulmonary embolism.
The Massachusetts General Hospital Pulmonary Embolism Response Team (MGH PERT): creation of a multidisciplinary program to improve care of patients with massive and submassive pulmonary embolism.
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DOI：
10.3810/hp.2014.02.1089
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发表时间：
2014-02-01
影响因子：
--
通讯作者：
Kabrhel, Christopher
中科院分区：
文献类型：
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作者：
Provias, Tim;Dudzinski, David M;Kabrhel, Christopher
新的和创新的工具已经出现了巨大和亚巨大肺栓塞（PE）的治疗。这些新的治疗方法，当与现有的治疗方法，如抗凝，全身静脉溶栓，开放手术肺栓塞切除术，有可能改善患者的结局。然而，比较不同治疗方式的数据很少，指南只提供了一般性的使用建议。治疗决定取决于临床医生的专业知识和机构资源。由于不同的内科和外科专业提供不同的观点和专业知识，因此需要对大面积和亚大面积PE患者采取多学科方法。为了满足这一需求，我们创建了一个新型的多学科项目--马萨诸塞州总医院（MGH）肺栓塞响应小组（PERT）--该项目汇集了多位专家，快速评估中危和高危PE患者，制定治疗计划，并动员必要的资源提供最高水平的护理。临床，教育和研究基础设施的发展，以及国家PERT联盟的创建，将使我们的经验提供给其他机构，并作为未来研究的平台，以改善大规模和亚大规模PE复杂患者的护理。
New and innovative tools have emerged for the treatment of massive and submassive pulmonary embolism (PE). These novel treatments, when considered alongside existing therapy, such as anticoagulation, systemic intravenous thrombolysis, and open surgical pulmonary embolectomy, have the potential to improve patient outcomes. However, data comparing different treatment modalities are sparse, and guidelines provide only general advice for their use. Treatment decisions rest on clinician expertise and institutional resources. Because various medical and surgical specialties offer different perspectives and expertise, a multidisciplinary approach to patients with massive and submassive PE is required. To address this need, we created a novel multidisciplinary program - the Massachusetts General Hospital (MGH) Pulmonary Embolism Response Team (PERT) - which brings together multiple specialists to rapidly evaluate intermediate- and high-risk patients with PE, formulate a treatment plan, and mobilize the necessary resources to provide the highest level of care. Development of a clinical, educational, and research infrastructure, as well as the creation of a national PERT consortium, will make our experience available to other institutions and serve as a platform for future studies to improve the care of complex patients with massive and submassive PE.