Table 2.

Characteristics of included studies comparing home vs hospital treatment of patients with low-risk PE

Author, yCountryStudy designNo. of patientsIntervention: home treatmentControl: hospital treatmentMean hospital length of stayMean age ± SD, yFemale, %Known cancer, %Duration of follow-up, moHow was risk of PE complications determined?
Beer et al,24  2003 Switzerland Cohort Home: 43  LMWH for 5-10 d; oral anticoagulation was continued for 6-12 mo; treated at home LMWH for 5-10 d; oral anticoagulation was continued for 6-12 mo; treated in hospital Not reported Median (range): 69 (18-96) Not reported Not reported 3  Unvalidated prediction tool 
Hospital: 62  
Siragusa et al,25  2005* Italy Cohort Home: 36  LMWH followed by warfarin or with LMWH alone; treated at home LMWH followed by warfarin or with LMWH alone; treated in hospital Home: 3.1 h Not reported for PE sample Not reported for PE sample Not reported for PE sample 6  Poor clinical conditions related to concomitant medical disorders, illness that independently required hospitalization, poor compliance, high risk of bleeding or active bleeding, renal insufficiency, acute anemia, pain requiring parenteral narcotics 
Hospital: 32  Hospital: 8 ± 2 d 
Rodriguez-Cerrillo et al,26  2009 Spain Cohort Home: 30  LMWH followed by warfarin or with LMWH alone; treated at home LMWH followed by warfarin or with LMWH alone; treated in hospital Home: 0 d Median (range):Home: 66.8 (27-91) Home: 30 Not reported 3  Massive PE, hemodynamic instability, oxygen saturation lower than 92% on room air, heart failure, hemoptysis, arrhythmia, contraindication for LMWH 
Hospital: 31  Hospital: 10.6 d Hospital: 66.7 (31-90) Hospital: 45.2 
Aujesky et al,22  2011 Switzerland, France, Belgium, US RCT Home: 171  LMWH and VKA LMWH and VKA; admitted to hospital All patients discharged from ED within 24 h of randomization Home: 47 50.9 Home: 1 3  PESI 
Hospital: 168  Hospital: 49 Hospital: 2 
Frank Peacock et al,23  2018 US RCT Home: 51  Rivaroxaban for 90 d Standard-of care including bridging therapy or DOAC; admitted to hospital All patients discharged from ED within 24 h 48.26 ± 15.5 51.8 Home: 6 3  Hestia criteria 
Hospital: 63  Hospital: 6 
Author, yCountryStudy designNo. of patientsIntervention: home treatmentControl: hospital treatmentMean hospital length of stayMean age ± SD, yFemale, %Known cancer, %Duration of follow-up, moHow was risk of PE complications determined?
Beer et al,24  2003 Switzerland Cohort Home: 43  LMWH for 5-10 d; oral anticoagulation was continued for 6-12 mo; treated at home LMWH for 5-10 d; oral anticoagulation was continued for 6-12 mo; treated in hospital Not reported Median (range): 69 (18-96) Not reported Not reported 3  Unvalidated prediction tool 
Hospital: 62  
Siragusa et al,25  2005* Italy Cohort Home: 36  LMWH followed by warfarin or with LMWH alone; treated at home LMWH followed by warfarin or with LMWH alone; treated in hospital Home: 3.1 h Not reported for PE sample Not reported for PE sample Not reported for PE sample 6  Poor clinical conditions related to concomitant medical disorders, illness that independently required hospitalization, poor compliance, high risk of bleeding or active bleeding, renal insufficiency, acute anemia, pain requiring parenteral narcotics 
Hospital: 32  Hospital: 8 ± 2 d 
Rodriguez-Cerrillo et al,26  2009 Spain Cohort Home: 30  LMWH followed by warfarin or with LMWH alone; treated at home LMWH followed by warfarin or with LMWH alone; treated in hospital Home: 0 d Median (range):Home: 66.8 (27-91) Home: 30 Not reported 3  Massive PE, hemodynamic instability, oxygen saturation lower than 92% on room air, heart failure, hemoptysis, arrhythmia, contraindication for LMWH 
Hospital: 31  Hospital: 10.6 d Hospital: 66.7 (31-90) Hospital: 45.2 
Aujesky et al,22  2011 Switzerland, France, Belgium, US RCT Home: 171  LMWH and VKA LMWH and VKA; admitted to hospital All patients discharged from ED within 24 h of randomization Home: 47 50.9 Home: 1 3  PESI 
Hospital: 168  Hospital: 49 Hospital: 2 
Frank Peacock et al,23  2018 US RCT Home: 51  Rivaroxaban for 90 d Standard-of care including bridging therapy or DOAC; admitted to hospital All patients discharged from ED within 24 h 48.26 ± 15.5 51.8 Home: 6 3  Hestia criteria 
Hospital: 63  Hospital: 6 
*

Siragusa et al25  included patients with PE and DVT and included patients with cancer only.

Rodriguez-Cerrillo et al26  were randomized to hospital or home hospital. Home hospital patients were managed in their own homes.

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