TY - JOUR
T1 - The Hospital Zambrano Hellion venous thromboembolism rapid response team (PREVENTION-team)
T2 - Improving pulmonary embolism and deep venous thrombosis patient care
AU - Del Toro-Mijares, Raúl
AU - Jerjes-Sánchez, Carlos
AU - Rodríguez, David
AU - Panneflek, Jathniel
AU - Vázquez-Guajardo, Mauricio
AU - Fabiani, Mario A.
AU - Quintanilla, Juan
AU - Manautou, Luis
AU - de la Peña-Almaguer, Erasmo
AU - Cadena, Arturo
AU - Cassagne, Gabriela
AU - Torre-Amione, Guillermo
N1 - Publisher Copyright:
© 2019 Instituto Nacional de Cardiología Ignacio Chávez.
PY - 2020
Y1 - 2020
N2 - Background: Fast-track worldwide reperfusion programs improve outcomes in ST-elevation myocardial infarction and stroke. Similar programs called Program Evaluation and Review Technique (PERT) focus on submassive and massive pulmonary embolism (PE) excluding deep venous thrombosis (DVT). Methods: PREVENTION-team (Hospital Zambrano Hellion Venous Thromboembolism [VTE] Rapid Response). Primary objective: Fast-track stratification, diagnostics, and treatment (60-90 min) to improve proximal DVT and submassive and massive PE patients care. Secondary objectives: Increase diagnosis rate of low-risk PE and distal DVT; exploration of cause; long-term anticoagulation; identify high-risk profile for chronic complications; community-based support groups and patient education to extend the concept of the thrombosis-free hospital to thrombosis-free home. Structure and organization: The team includes cardiologists, vascular medicine, angiologist, echo-cardiographer, cardiovascular imaging, and interventional cardiologists. The team will be accessible 24 h a day, 7 days a week, 365 days a year, and base on previous national experience. The cardiology fellow on call will be responsible for activation and evaluation. We will design several tools to accelerate these processes. Risk stratification and therapeutic approach will be based on clinical presentation, echocardiogram, and biomarkers findings. According to PERT stratification based on resources and medical specialties, Hospital Zambrano Hellion has level 1 PERT. PREVENTION-team links physicians with different expertise, provide fast, efficient, and time-saving treatment, potentially saving lives and reducing bleeding and chronic complications in VTE patients. Finally, establishing a network in our hospital and health system to improve VTE patients care. To the best of our knowledge, this is the first rapid response team focused on VTE in Mexico.
AB - Background: Fast-track worldwide reperfusion programs improve outcomes in ST-elevation myocardial infarction and stroke. Similar programs called Program Evaluation and Review Technique (PERT) focus on submassive and massive pulmonary embolism (PE) excluding deep venous thrombosis (DVT). Methods: PREVENTION-team (Hospital Zambrano Hellion Venous Thromboembolism [VTE] Rapid Response). Primary objective: Fast-track stratification, diagnostics, and treatment (60-90 min) to improve proximal DVT and submassive and massive PE patients care. Secondary objectives: Increase diagnosis rate of low-risk PE and distal DVT; exploration of cause; long-term anticoagulation; identify high-risk profile for chronic complications; community-based support groups and patient education to extend the concept of the thrombosis-free hospital to thrombosis-free home. Structure and organization: The team includes cardiologists, vascular medicine, angiologist, echo-cardiographer, cardiovascular imaging, and interventional cardiologists. The team will be accessible 24 h a day, 7 days a week, 365 days a year, and base on previous national experience. The cardiology fellow on call will be responsible for activation and evaluation. We will design several tools to accelerate these processes. Risk stratification and therapeutic approach will be based on clinical presentation, echocardiogram, and biomarkers findings. According to PERT stratification based on resources and medical specialties, Hospital Zambrano Hellion has level 1 PERT. PREVENTION-team links physicians with different expertise, provide fast, efficient, and time-saving treatment, potentially saving lives and reducing bleeding and chronic complications in VTE patients. Finally, establishing a network in our hospital and health system to improve VTE patients care. To the best of our knowledge, this is the first rapid response team focused on VTE in Mexico.
KW - Deep vein thrombosis
KW - Mexico
KW - Program evaluation and review technique
KW - Pulmonary embolism
KW - Rapid response teams
KW - Venous thromboembolism
KW - Humans
KW - Risk Factors
KW - Venous Thrombosis/diagnosis
KW - Venous Thromboembolism/diagnosis
KW - Hospital Rapid Response Team/organization & administration
KW - Patient Care/methods
KW - Pulmonary Embolism/diagnosis
KW - Time Factors
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U2 - 10.24875/ACM.19000276
DO - 10.24875/ACM.19000276
M3 - Article
C2 - 31996857
AN - SCOPUS:85078689344
SN - 1405-9940
VL - 90
SP - 28
EP - 38
JO - Archivos de cardiologia de Mexico
JF - Archivos de cardiologia de Mexico
IS - 1
ER -