Best Evidence Topics
  • Send this BET as an Email
  • Make a Comment on this BET

Outpatient treatment of PE in pregnancy.

Three Part Question

In [pregnant women with a suspected PE] presenting to the ED is [outpatient treatment] for PE [safe]?

Clinical Scenario

A 25-year old pregnant woman presents to the ED with acute onset pleuritic chest pain, which you confidently diagnose as a PE. You start her on LMWH and consider whether you can discharge her and treat her on an outpatient basis safely.

Search Strategy

All EBM Reviews - Cochrane DSR, ACP Journal Club, DARE, CCTR, CMR, HTA, and NHSEED 2nd Quarter 2008. EMBASE 1996 to 2008 week 25. Medline 1950-Week 2 June 2008 using the OVID interface. CINAHL 1982 to June Week 2 2008
([{pregnanc$.mp. OR exp Pregnancy OR exp Pregnancy Complications or pregnant.mp. OR exp Pregnant Women}] AND [exp Pulmonary Embolism OR pulmonary embolu$.mp. OR pulmonary embolus.mp. OR exp Venous Thrombosis/ pleuri$.mp. OR pulmonary embol$.mp.]) AND {exp Ambulatory Care OR outpatient treatment$.mp. OR exp Outpatient Clinics, Hospital OR treatment$.mp. OR exp Therapeutics} AND {safety$.mp. or exp Safety}
LIMIT to human AND english.

Search Outcome

1350 papers were found of which 0 were relevant.

Comment(s)

There is no direct evidence that can assist in answering this question.

Clinical Bottom Line

Local advice preferably from obstetricians as well as ED consultants should be followed.