Abstract：
BACKGROUND: The effective management of pulmonary embolism (PE) necessitates coordinated care among physicians from diverse specialties within a time-sensitive framework. Pulmonary Embolism Response Teams (PERTs) have been developed as a strategic approach to optimize and expedite treatment by integrating and coordinating different specialties. The current survey audit aimed to understand the level of interest among vascular surgeons and the logistical considerations surrounding their participation within the PERT.
METHODS: A deidentified Research Electronic Data Capture (REDCap) survey was disseminated to vascular surgeons, with collected data submitted to the Vascular Surgery Collaborative (VASC) database.
RESULTS: A total of 139 vascular surgeons with an average of 10.6 years of practice experience responded to the VASC PERT audit. The majority (70.5%) practice in academic settings and only 24.5% currently perform PE interventions in their practice. While nearly half of respondents (52.5%) reported the existence of PERT in their institutions, only a fraction (23.3%) was actively involved in the PERT. Notably, a significant proportion in our cohort (38.1%) expressed dissatisfaction with the representation of vascular surgeons in multidisciplinary teams managing venous thromboembolism (VTE), including deep vein thrombosis (DVT) and PE. Vascular surgery (VS) representation in PERT was only 34.2%, with pulmonology (pulm) (60.3%), interventional radiology (IR) (57.5%), interventional cardiology (IC) (57.5%), and critical care (CC) (50.7%) being the most represented specialties. The primary barriers to VS participation in PERT were competing interests from other specialties and logistical scheduling challenges.
CONCLUSIONS: The audit shows a global deficit in the integration of VS expertize within PERT frameworks. Primary barriers include exclusion due to competing interests from other specialties and challenges in the logistical coordination of PERT calls.
METHODS: A deidentified Research Electronic Data Capture (REDCap) survey was disseminated to vascular surgeons, with collected data submitted to the Vascular Surgery Collaborative (VASC) database.
RESULTS: A total of 139 vascular surgeons with an average of 10.6 years of practice experience responded to the VASC PERT audit. The majority (70.5%) practice in academic settings and only 24.5% currently perform PE interventions in their practice. While nearly half of respondents (52.5%) reported the existence of PERT in their institutions, only a fraction (23.3%) was actively involved in the PERT. Notably, a significant proportion in our cohort (38.1%) expressed dissatisfaction with the representation of vascular surgeons in multidisciplinary teams managing venous thromboembolism (VTE), including deep vein thrombosis (DVT) and PE. Vascular surgery (VS) representation in PERT was only 34.2%, with pulmonology (pulm) (60.3%), interventional radiology (IR) (57.5%), interventional cardiology (IC) (57.5%), and critical care (CC) (50.7%) being the most represented specialties. The primary barriers to VS participation in PERT were competing interests from other specialties and logistical scheduling challenges.
CONCLUSIONS: The audit shows a global deficit in the integration of VS expertize within PERT frameworks. Primary barriers include exclusion due to competing interests from other specialties and challenges in the logistical coordination of PERT calls.
摘要：
目的：肺栓塞（PE）的有效管理需要来自不同专业的医生在时间敏感的框架内进行协调护理。肺栓塞反应小组（PERT）已被开发为通过整合和协调不同专业来优化和加快治疗的战略方法。这种多学科范式有助于迅速进行风险评估，制定治疗策略，和资源调动，提高体育成果。
方法：一项去识别的REDCap调查被传播给血管外科医生，收集的数据提交到血管外科合作（VASC）数据库。
结果：共有139名具有平均10.6年实践经验的血管外科医师对VASCPERT审核做出了回应。大多数（70.5%）在学术环境中实践，目前只有24.5%的人在他们的实践中进行体育干预。虽然近一半的受访者(52.5%)表示他们的机构中存在PERT，只有一小部分(23.3%)积极参与PERT.值得注意的是,在我们的队列中，有相当大比例（38.1％）对血管外科医生在多学科团队管理静脉血栓栓塞症（VTE）中的代表性表示不满，包括深静脉血栓形成（DVT）和PE。PERT中血管手术的代表性仅为34.2%,肺科（60.3%），介入放射学(57.5%)，介入心脏病学（57.5%），重症监护(50.7%)是最具代表性的专业。参加PERT的血管手术的主要障碍是与其他专业的竞争利益和后勤调度挑战。图1以视觉抽象的形式直观地总结了研究的关键发现。
结论：审计显示，在PERT框架内整合血管外科专业知识方面存在全球缺陷。主要障碍包括由于其他专业的竞争利益而导致的排斥，以及PERT呼叫的后勤协调方面的挑战。
方法：一项去识别的REDCap调查被传播给血管外科医生，收集的数据提交到血管外科合作（VASC）数据库。
结果：共有139名具有平均10.6年实践经验的血管外科医师对VASCPERT审核做出了回应。大多数（70.5%）在学术环境中实践，目前只有24.5%的人在他们的实践中进行体育干预。虽然近一半的受访者(52.5%)表示他们的机构中存在PERT，只有一小部分(23.3%)积极参与PERT.值得注意的是,在我们的队列中，有相当大比例（38.1％）对血管外科医生在多学科团队管理静脉血栓栓塞症（VTE）中的代表性表示不满，包括深静脉血栓形成（DVT）和PE。PERT中血管手术的代表性仅为34.2%,肺科（60.3%），介入放射学(57.5%)，介入心脏病学（57.5%），重症监护(50.7%)是最具代表性的专业。参加PERT的血管手术的主要障碍是与其他专业的竞争利益和后勤调度挑战。图1以视觉抽象的形式直观地总结了研究的关键发现。
结论：审计显示，在PERT框架内整合血管外科专业知识方面存在全球缺陷。主要障碍包括由于其他专业的竞争利益而导致的排斥，以及PERT呼叫的后勤协调方面的挑战。
