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Guideline

British Thoracic Society Guideline for the initial outpatient management of pulmonary embolism (PE)

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Last updated:18th Jun 2018

The British Thoracic Society (BTS) Guideline for the initial OP management of PE provides guidance on how to risk-stratify patients with suspected and confirmed PE and subsequently manage them in an OP or ambulatory care setting.

Over the last 10 years there has been an increasing drive to manage many conditions traditionally treated during an IP admission as OPs. This has become widespread practice in
managing deep vein thrombosis (DVT) and data are increasing to support this strategy in PE. With the licensing of the DOACs for the treatment of acute PE which do not require a LMWH run-in or International Normalised Ratio (INR) monitoring, OP management of suspected PE has become more straightforward. This is clearly an opportunity to improve patient experience and reduce hospital length of stay (LOS), but it also presents a risk if the wrong patients are identified for OP management.

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