癌症相关静脉血栓栓塞症患者的家庭治疗
Olivier Sanchez1, Pierre-Marie Roy2, Yoann Gaboreau3
1Service de pneumologie et de soins intensifs, hôpital européen Georges-Pompidou, AP-HP, Paris, France; Université Paris Cité, Inserm UMR S1140, innovations thérapeutiques en hémostase, Paris, France; F-CRIN INNOVTE network, Saint-Etienne, France.
Archives of cardiovascular diseases
|December 13, 2023
概括
针对急性静脉血栓塞栓症 (VTE) 的家庭治疗对于某些患者来说是安全的,改善了生活质量并降低了医疗保健成本. 仔细的患者选择和监测是成功门诊静脉瘤治疗的关键.
科学领域:
- 内部医学 内部医学
- 心脏病学 心脏病学
- 血液学 血液学 血液学
背景情况:
- 急性静脉血栓栓塞 (VTE),包括肺栓塞,往往导致长时间住院,因为担心并发症.
- 现有研究表明,对精选的VTE患者进行家庭治疗是安全的,可行的,不良事件发生率低.
- 益处包括改善患者的生活质量,更好地管理医院资源,并降低医疗保健成本.
研究的目的:
- 为癌症患者突出需要一种VTE风险分层工具,以确定门诊治疗的候选人.
- 提出Hestia标准作为一个务实的临床决策工具,用于选择VTE患者进行家庭护理.
- 强调定期多学科监测的重要性,以便在家庭治疗VTE患者中早期检测并发症.
主要方法:
- 审查现有关于VTE患者在家治疗可行性和安全性的研究.
- 对预后分数的讨论和对临床实践的Hestia标准的建议.
- 推的监测计划概要 (例如,3天,10天,1个月,3个月) 涉及多学科团队.
主要成果:
- 选择的VTE患者的家庭治疗与不良事件的发病率低有关.
- 赫斯蒂亚标准可以帮助选择低风险的静脉瘤患者,包括患有癌症的患者,进行门诊治疗.
- 有效的监测协议可以确保对潜在并发症及时进行干预.
结论:
- 仔细的选择和有效的监测使许多急性VTE患者能够安全地进行家庭治疗.
- 门诊静脉瘤治疗为患者和医疗保健系统带来了显著的好处.
- 赫斯蒂亚标准为实施家庭VTE护理提供了一种实际方法.
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