• Rev Med Interne · Apr 2024

    Review

    [Translation into French and republication of: "Home treatment for patients with cancer-associated venous thromboembolism"].

    • Olivier Sanchez, Pierre-Marie Roy, Yoann Gaboreau, Jeannot Schmidt, Farès Moustafa, Asmahane Benmaziane, Antoine Élias, Olivier Espitia, Marie-Antoinette Sevestre, Francis Couturaud, Isabelle Mahé, and INNOVTE CAT Working Group.
    • Service de pneumologie et de soins intensifs, hôpital européen Georges-Pompidou, AP-HP, Paris, France; Université Paris Cité, Inserm UMR S1140, Innovations thérapeutiques en hémostase, Paris, France; F-Crin INNOVTE network, Saint-Étienne, France. Electronic address: olivier.sanchez@aphp.fr.
    • Rev Med Interne. 2024 Apr 1; 45 (4): 226238226-238.

    AbstractPatients hospitalised with acute venous thromboembolism (VTE), and notably patients with pulmonary embolism, often remain in hospital for extended periods due to the perceived risk of complications. However, several studies have shown that home treatment of selected patients is feasible and safe, with a low incidence of adverse events. This may offer clear benefits for patients' quality of life, hospital planning and cost to the health service. Nonetheless, there is a need for a VTE risk-stratification tool specifically addressing prognosis in patients with cancer. This may aid in the selection of low-risk patients with cancer and VTE who are suitable for outpatient treatment. Although several prognostic scores have been proposed, we suggest using a pragmatic clinical decision-making tool such as the Hestia criteria for selecting patients for home care in everyday clinical practice. Once patients have been discharged, it is mandatory to monitor patients regularly (we suggest after 3 days, 10 days, 1 month and 3 months, or more frequently if needed) with the involvement of a multidisciplinary team, so that appropriate and timely remedial action can be taken in case of warning signs of complications. If patients are selected carefully and monitored effectively, many patients who experience acute VTE can be cared for safely at home.Copyright © 2024 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

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