Current practices in diagnosing acute pulmonary embolism: a comprehensive analysis of adherence to contemporary practice guidelines.

Autor:	Stępniewski J; Department of Cardiac and Vascular Diseases, St. John Paul II Hospital, Kraków, Poland; Pulmonary Circulation Centre, Department of Cardiac and Vascular Diseases, Jagiellonian University Medical College, Kraków, Poland; Center for Innovative Medical Education, Department of Medical Education, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland, Wilczek Ł; Department of Cardiac and Vascular Diseases, St. John Paul II Hospital, Kraków, Poland, Waligóra M; Department of Cardiac and Vascular Diseases, St. John Paul II Hospital, Kraków, Poland; Pulmonary Circulation Centre, Department of Cardiac and Vascular Diseases, Jagiellonian University Medical College, Kraków, Poland; Center for Innovative Medical Education, Department of Medical Education, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland, Jonas K; Department of Cardiac and Vascular Diseases, St. John Paul II Hospital, Kraków, Poland; Pulmonary Circulation Centre, Department of Cardiac and Vascular Diseases, Jagiellonian University Medical College, Kraków, Poland; Center for Innovative Medical Education, Department of Medical Education, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland, Magoń W; Department of Cardiac and Vascular Diseases, St. John Paul II Hospital, Kraków, Poland; Pulmonary Circulation Centre, Department of Cardiac and Vascular Diseases, Jagiellonian University Medical College, Kraków, Poland; Center for Innovative Medical Education, Department of Medical Education, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland, Furtak R; Clinical Cardiology Department with Internal Diseases Subunit, Independent Public Healthcare Centre No. 1 in Rzeszow, Rzeszów, Poland, Curzytek A; Department of Cardiology, Hospital of the Ministry of Interior and Administration, Rzeszów, Poland, Kurzyna M; Department of Pulmonary Circulation and Thromboembolic Diseases, Medical Centre of Postgraduate Medication, Warszawa, Poland, Araszkiewicz A; First Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland, Frołow M; Second Department of Internal Medicine, Jagiellonian University Medical College, Kraków, Poland, Pruszczyk P; Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warszawa, Poland, Kopeć G; Department of Cardiac and Vascular Diseases, St. John Paul II Hospital, Kraków, Poland; Pulmonary Circulation Centre, Department of Cardiac and Vascular Diseases, Jagiellonian University Medical College, Kraków, Poland. grzegorzkrakow1@gmail.com
Jazyk:	angličtina
Zdroj:	Polish archives of internal medicine [Pol Arch Intern Med] 2024 Oct 30; Vol. 134 (10). Date of Electronic Publication: 2024 Sep 20.
DOI:	10.20452/pamw.16843
Abstrakt:	Introduction: Acute pulmonary embolism (APE) poses significant diagnostic challenges, with potentially fatal outcomes if not promptly identified and treated. Despite the availability of clinical guidelines, adherence to diagnostic strategies varies globally, impacting patient outcomes. Objectives: Our aim was to investigate current practices for PE diagnosis among Polish physicians and their adherence to the contemporary 2019 European Society of Cardiology (ESC) guidelines. Patients and Methods: This cross‑sectional study, utilizing a web‑based survey developed with the Delphi methodology, included hospital‑based physicians of various specialties from Poland. The survey focused on diagnostic practices, risk stratification, and adherence to the ESC 2019 guidelines for PE. Results: The study showed a limited use of guideline‑recommended clinical prediction rules, with predominant reliance on D‑dimer assessment and computed tomography pulmonary angiography. Risk stratification practices varied, and were often based on individual experience rather than evidence‑based strategies. The vast majority of physicians (80.5%) had never contacted a PE response team, but 88% stated that they would if it were available. Cardiologists were more likely to employ guideline‑recommended methods than other specialists. Conclusions: There is a need for increased adherence to guideline‑recommended diagnostic and risk stratification strategies in APE among physicians in Poland. Enhancing the availability of PE response teams and promoting guideline‑directed practices could improve diagnostic accuracy and patient outcomes.
Databáze:	MEDLINE
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