TY - T1的早期放电和门诊胎面tment of patients admitted for acute pulmonary embolism JF - European Respiratory Journal JO - Eur Respir J SP - 486 LP - 487 DO - 10.1183/09031936.00108112 VL - 41 IS - 2 AU - Barra, Sérgio Nuno Craveiro AU - Paiva, Luís AU - Providência, Rui Y1 - 2013/02/01 UR - //www.qdcxjkg.com/content/41/2/486.abstract N2 - To the Editor:We read with great interest the study by Moores et al. [1]. The authors propose that patients admitted for acute pulmonary embolism and classified as Pulmonary Embolism Severity Index (PESI) class III could be more appropriately risk-stratified by re-calculating the PESI score 48 h after admission (PESI48). 83 out of 304 PESI class III patients were reclassified as low risk (defined as PESI48 class I and II) while 16 were reclassified into classes IV or V, which, according to the authors, led to an overall net improvement in risk reclassification estimated at 54%. Patients re-categorised as low risk had a mortality rate of 1.2% as opposed to 11.3% in those who remained high risk (PESI48 ≥III).Prognostic assessment of patients with acute pulmonary embolism is of pivotal importance and still an area of ongoing research. Good prognostication of pulmonary embolism is extremely cost-effective, as demonstrated by Aujesky et al. [2], who found low molecular weight heparin treatment of pulmonary embolism to be cost-saving if ≥8% of patients were … ER -