从肺栓塞 (PE) 到慢性血栓栓塞性肺病 (CTEPD)：英国医生调查发现

IF 1.8 Q3 RESPIRATORY SYSTEM

Advances in respiratory medicine Pub Date : 2024-01-09 DOI:10.3390/arm92010007

Joanna Pepke-Zaba, Luke Howard, D. Kiely, Shruti Sweeney, Martin Johnson

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引用次数: 0

摘要

慢性血栓栓塞性肺疾病（CTEPD）是肺栓塞（PE）的一种并发症。我们对英国接受过肺栓塞治疗的医生进行了在线调查，以了解他们在肺栓塞后续治疗中的做法以及对 CTEPD 的认识。接受调查的医生（N = 175）包括来自心脏科、呼吸科和内科的各 50 名医生，以及 25 名血液科医生。大多数参与者（89%）都有当地的 PE 管理指南，65% 的参与者称有 PE 随访诊所，其中 69% 是联合诊所。近一半（47%）的参与者制定了 CTEPD 调查方案。据参与者称，129 人（74%）常规考虑 CTEPD 诊断，97 人（55%）常规进行 CTEPD 检查，其中 76% 的参与者对 3 个月后有症状的患者进行检查，22% 的参与者对所有患者进行检查。这项调查表明，在 PE 的随访以及对 CTEPD 的认识和调查方面存在差异。调查结果支持开展全国性审计，以了解及时发现 CTEPD 的障碍。

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Pulmonary Embolism (PE) to Chronic Thromboembolic Pulmonary Disease (CTEPD): Findings from a Survey of UK Physicians

Chronic thromboembolic pulmonary disease (CTEPD) is a complication of pulmonary embolism (PE). We conducted an online survey of UK PE-treating physicians to understand practices in the follow-up of PE and awareness of CTEPD. The physicians surveyed (N = 175) included 50 each from cardiology, respiratory and internal medicine, plus 25 haematologists. Most (89%) participants had local guidelines for PE management, and 65% reported a PE follow-up clinic, of which 69% were joint clinics. Almost half (47%) had a protocol for the investigation of CTEPD. According to participants, 129 (74%) routinely consider a diagnosis of CTEPD and 97 (55%) routinely investigate for CTEPD, with 76% of those 97 participants investigating in patients who are symptomatic at 3 months and 22% investigating in all patients. This survey demonstrated variability in the follow-up of PE and the awareness of CTEPD and its investigation. The findings support the conduct of a national audit to understand the barriers to the timely detection of CTEPD.

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来源期刊

Advances in respiratory medicine RESPIRATORY SYSTEM-

CiteScore

2.60

自引率

0.00%

发文量

期刊介绍： "Advances in Respiratory Medicine" is a new international title for "Pneumonologia i Alergologia Polska", edited bimonthly and addressed to respiratory professionals. The Journal contains peer-reviewed original research papers, short communications, case-reports, recommendations of the Polish Respiratory Society concerning the diagnosis and treatment of lung diseases, editorials, postgraduate education articles, letters and book reviews in the field of pneumonology, allergology, oncology, immunology and infectious diseases. "Advances in Respiratory Medicine" is an open access, official journal of Polish Society of Lung Diseases, Polish Society of Allergology and National Research Institute of Tuberculosis and Lung Diseases.