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Considerations for instituting pediatric pulmonary embolism response teams: A tool kit

Lookup NU author(s): Dr Tina Biss

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Abstract

© 2024The incidence of pediatric pulmonary embolism (PE) has increased by 200 % in the last decade, but at a single center, it is still infrequent. Given the unique epidemiologic features of pediatric PE, diagnosis is often delayed, and the management is empiric, based on individual physician experience or preference. Thus, there is a strong need for center-specific uniform management of pediatric PE patients. In adults, the development of pulmonary embolism response teams (PERTs) or PE critical care pathways has shortened the time to diagnosis and the initiation of definitive management. Evidence to support an improvement in PE outcomes after the development of PERTs does not exist in children. Nonetheless, we have summarized the practical practice guidelines that physicians and institutions can adopt to establish their institutional PERTs or critical pathways. We also provide strategies for resource-challenged institutions for partnering with centers with expertise in the management of pediatric PE.

Publication metadata

Author(s): Rajpurkar M, Rosovsky RP, Williams S, Chan AKC, van Ommen CH, Faustino EVS, White M, Parikh M, Sirachainan N, Biss T, Goldenberg NA

Publication type: Article

Publication status: Published

Journal: Thrombosis Research

Year: 2024

Volume: 236

Pages: 97-107

Online publication date: 22/02/2024

Acceptance date: 16/02/2024

ISSN (print): 0049-3848

ISSN (electronic): 1879-2472

Publisher: Elsevier Ltd

URL: https://doi.org/10.1016/j.thromres.2024.02.019

DOI: 10.1016/j.thromres.2024.02.019

PubMed id: 38417301

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