AN ISSUE OF THE PATIENTS ROUTING IN CASE OF PULMONARY EMBOLISM

• Main Authors: O. Ya. Vasiltseva, I. N. Vorozhtsova, I. Kh. Selivanova, A. A. Gorlova, R. S. Karpov
• Format: Article
• Language: Russian
• Published: «SILICEA-POLIGRAF» LLC 2016-12-01
• Series: Кардиоваскулярная терапия и профилактика
• Subjects: pulmonary embolism; routing; levels of medical care; emergency crew
• Online Access: https://cardiovascular.elpub.ru/jour/article/view/520
• ISSN: 1728-8800; 2619-0125

Recently, there is a lot being done for optimization of care in pulmonary embolism (PE), however there is no significant decline in mortality and its structure  within this  pathology.  Epidemiological data  on  PE remain unknown due to difficulties in diagnostics,  however the data has been collected, witness for the low levels of diagnostics of this pathology, but not rareness of its development.Based on the Regulation of the Ministry of Health from 29.12.2012  № 1706 (ed. from 13.02.2013) in the regions, there are schemes for routing of patients  with one or another  nosology, that are the administratively proven order of direction with a detailed explication of all movements related  to medical care.  Hence,  the  routing of an exact  patient  is a process  of an optimal route of scheduled events for quality medical care with minimal time and financial expenses. Under framework of 3-level system of medical care, the order for PE patients is not yet established. However, it is  known that  in this  category  of  patients  an  on-time verification of  PE  and  start  of  adequate  treatment   do  determine prognosis.  Therefore,  the optimal organization of routing for patients with suspected PE does  determine  a course  of disease  and might, in many cases, prevent fatal outcome. This article focuses  on the optimal routing of patients with suspected PE.