Revue médicale suisse
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Revue médicale suisse · Jan 2006
Review[The prognosis of pulmonary embolism: are there practical implications for patient management?].
There is growing evidence that outpatient treatment is safe and effective for many patients with non-massive pulmonary embolism. Despite this evidence, the vast majority of patients with non-massive pulmonary embolism continue to be treated in an inpatient setting. A major barrier to outpatient treatment has been the lack of explicit criteria to identify patients with pulmonary embolism at low-risk of adverse medical outcome. This article discusses new risk stratification tools for pulmonary embolism such as echocardiography, biomarkers, and clinical prognostic scores, and their potential application for patient management.
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Gestational diabetes is a complication of pregnancy associated with an increase in maternal and perinatal morbidity, as well as an increased risk of subsequent type II diabetes. Diagnosis can be made by the O'Sullivan test, followed by an oral glucose tolerance test. ⋯ Until recently, there was no evidence that this approach is beneficial. This year, the results of a randomised trial showed a reduction of perinatal mortality and morbidity associated with management of gestational diabetes.