Abstract：
Pulmonary embolism (PE) is a leading cause of morbidity and mortality in patients with cancer. The clinical presentation and outcomes of PE range from an acute life-threatening condition requiring intensive care to a mild symptomatic condition associated with favorable outcomes and potentially candidate for early hospital discharge. The wide clinical spectrum of PE has led to the development of risk stratification models aimed at the triage of patients in emergency care departments and optimizing the utilization of health care resources. Incidental or unsuspected PE (UPE), detected during routine staging computed tomography scans, make up a significant proportion of this cohort among the oncology population. The present narrative review is aimed at examining the currently available PE risk assessment models developed for the general population and for patients with cancer including UPE. We include general recommendations for the daily care of patients with cancer-related PE and hypothesize on the factors that would potentially favor hospitalization with early discharge or ambulatory management in this setting.
摘要：
肺栓塞（PE）是癌症患者发病和死亡的主要原因。PE的临床表现和结果范围从需要重症监护的急性危及生命的状况到与有利结果相关的轻度症状状况，并且可能是早期出院的候选人。PE的广泛临床范围导致了风险分层模型的发展，该模型旨在对急诊部门的患者进行分诊并优化医疗保健资源的利用。偶然或意外的PE（UPE），在常规分期计算机断层扫描扫描中检测到，在肿瘤人群中，该队列占很大比例。本叙述性综述旨在研究目前为普通人群和包括UPE在内的癌症患者开发的PE风险评估模型。我们包括对癌症相关PE患者的日常护理的一般建议，并假设在这种情况下可能有利于早期出院或门诊治疗的因素。
