Characteristics of included studies comparing home vs hospital treatment of patients with low-risk PE
Author, y . | Country . | Study design . | No. of patients . | Intervention: home treatment . | Control: hospital treatment . | Mean hospital length of stay . | Mean age ± SD, y . | Female, % . | Known cancer, % . | Duration of follow-up, mo . | How 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, y . | Country . | Study design . | No. of patients . | Intervention: home treatment . | Control: hospital treatment . | Mean hospital length of stay . | Mean age ± SD, y . | Female, % . | Known cancer, % . | Duration of follow-up, mo . | How 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 |