Risk stratification for clinical severity of pulmonary embolism in patients with cancer: a narrative review and MASCC clinical guidance for daily care.

Acute pulmonary embolism Cancer-associated venous thromboembolism Supportive care oncology Unsuspected pulmonary embolism

Journal

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957

Informations de publication

Date de publication:
Oct 2022
Historique:
received: 21 10 2021
accepted: 09 05 2022
pubmed: 18 5 2022
medline: 28 9 2022
entrez: 17 5 2022
Statut: ppublish

Résumé

Pulmonary embolism (PE) is a leading cause of morbidity and mortality in patients with cancer. The clinical presentation and outcomes of PE range from an acute life-threatening condition requiring intensive care to a mild symptomatic condition associated with favorable outcomes and potentially candidate for early hospital discharge. The wide clinical spectrum of PE has led to the development of risk stratification models aimed at the triage of patients in emergency care departments and optimizing the utilization of health care resources. Incidental or unsuspected PE (UPE), detected during routine staging computed tomography scans, make up a significant proportion of this cohort among the oncology population. The present narrative review is aimed at examining the currently available PE risk assessment models developed for the general population and for patients with cancer including UPE. We include general recommendations for the daily care of patients with cancer-related PE and hypothesize on the factors that would potentially favor hospitalization with early discharge or ambulatory management in this setting.

Identifiants

pubmed: 35579753
doi: 10.1007/s00520-022-07131-1
pii: 10.1007/s00520-022-07131-1
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

8527-8538

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Diego Muñoz-Guglielmetti (D)

Radiation Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain.

Tim Cooksley (T)

The Christie Hospital, University of Manchester, Wythenshawe Hospital, Manchester, UK.

Shin Ahn (S)

Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Carmen Beato (C)

Medical Oncology Department, Hospital Universitario Macarena, Seville, Spain.

Mario Aramberri (M)

Internal Medicine Department, Hospital Galdakao-Usansolo, Vizcaya, Spain.

Carmen Escalante (C)

Internal Medicine Department, MD Anderson Cancer Center, University of Texas, Houston, USA.

Carme Font (C)

Medical Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain. CFONT@clinic.cat.

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