Impact Analysis of Prognostic Stratification for Pulmonary Embolism
NCT03002467 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 125
Last updated 2020-11-17
Summary
The Investigator postulate that the use of PESI in addition to routine clinical practice, as opposed to routine clinical practice based on clinical judgment alone, will help physicians to correctly identify PE patients at low-risk of adverse outcomes. Considered that low-risk patients could benefit from a short hospital stay, aim of this study is to demonstrate that the use of PESI will lead physicians to discharge these patients earlier, thus reducing the duration of hospital stay of PE patients (primary outcome).
Outpatients diagnosed with PE at the emergency department (ED) and admitted to participating units represent the target population
As the availability of DOACs may influence the duration of hospital stay, the secondary objectives of the present study are:
1. to demonstrate that a shorter hospital stay for low-risk PE patients (independently on the method used to identify them) will reduce the incidence of hospital-associated complications and improve patients satisfaction and quality of life, without increasing the incidence of PE-related complications
2. to demonstrate that the use of PESI, as opposed to clinical judgment alone, will be associated with a greater proportion of patients discharged early (\< 72 hours from ED admission) or treated entirely at home (\< 24 hours from ED admission).
3. to demonstrate that the use of DOACs will reduce the duration of hospital stay of PE patients
4. to demonstrate that the use of DOACs, as opposed to standard treatment, will be associated with a greater proportion of patients discharged early (\< 72 hours from ED admission) or treated entirely at home (\< 24 hours from ED admission).
Conditions
Interventions
- OTHER
-
PESI score
Sponsors & Collaborators
-
Università degli Studi dell'Insubria
lead OTHER
Principal Investigators
-
Alessandro Squizzato, MD PhD · Università degli Studi dell'Insubria
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-09-30
- Primary Completion
- 2019-12-31
- Completion
- 2019-12-31
Countries
- Italy
Study Locations
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