Pulmonary Embolism Clinical Trial
Official title:
Cooperative Investigation Plan for Home Treatment of Pulmonary Embolism
The best management in selected patients of pulmonary Embolism (PE) should be at home. The efficacy and safety treatment´s at home versus at hospital should be similar and quality of life should be better. Our purpose is to demostrate that Low weight molecular heparin (LWMH) at home for PE is at least as effective and safe at home as at hospital
In order to carry out the Cooperative Investigation Plan for home treatment of pulmonary
embolism, a network of multidisciplinary groups was built with the participation of 10
groups, distributed in 6 different regions and integrated within the Spanish Society of
Pneumology and Thoracic Surgery (SEPAR).
Those groups will share a database integrated in the Spanish Registry on Thromboembolic
Disease (RIETE), which is a project already being carried out and in which many of the
groups of the network already participate.
The research project will be a study developed in two phases. In the first phase, predictive
profiles for a favourable progression of the disease in patients with pulmonary embolism
will be studied using the actual management of the disease with the current assistance
model.
In the second phase, a randomized study comparing the efficacy and safety of two models of
home treatment ( discharge from hospital during the first 72 hours after the diagnosis of PE
and discharge from hospital during the first 5 days) in patients previously selected,
according to predefined criteria which were modified on the basis of the results of phase I
versus the current assistance model will be developed
The results will be measured in terms of efficacy, safety, economic burden, and quality of
life in both models (at home and at hospital).
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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