Research Article

Comparison of Treatment Approaches and Subsequent Outcomes within a Pulmonary Embolism Response Team Registry

Table 4

Bivariate analysis grouped by two main advanced interventions (catheter-directed interventions versus systemic thrombolysis)

Catheter-directed intervention (N = 145)Systemic thrombolysis (N = 154)Overall (N = 299)P value

Age
Mean (SD), years55.8 (15.0)55.4 (15.1)55.6 (15.0)0.816

Race
White79 (54.5%)90 (58.4%)169 (56.5%)0.714
Black62 (42.8%)61 (39.6%)123 (41.1%)
American-Indian/Alaskan1 (0.7%)0 (0%)1 (0.3%)
Asian1 (0.7%)0 (0%)1 (0.3%)
Unknown2 (1.4%)3 (1.9%)5 (1.7%)

Gender
Female71 (49.0%)77 (50.0%)148 (49.5%)0.908
Male74 (51.0%)77 (50.0%)151 (50.5%)

Ethnicity
Hispanic2 (1.4%)4 (2.6%)6 (2.0%)0.376
Non-Hispanic135 (93.1%)146 (94.8%)281 (94.0%)
Unknown8 (5.5%)4 (2.6%)12 (4.0%)

Advanced treatment timing
Yes (delayed >12 hrs later)64 (44.1%)18 (11.7%)82 (27.4%)<0.001
Yes (within 12 hrs)81 (55.9%)135 (87.7%)216 (72.2%)

Major bleeding
No126 (86.9%)121 (78.6%)247 (82.6%)0.0673
Yes19 (13.1%)33 (21.4%)52 (17.4%)

Clinical deterioration
CD18 (12.4%)72 (46.8%)90 (30.1%)<0.001
No CD127 (87.6%)82 (53.2%)209 (69.9%)

Death
No139 (95.9%)124 (80.5%)263 (88.0%)<0.001
Yes6 (4.1%)30 (19.5%)36 (12.0%)

PE severity at presentation
High risk9 (6.2%)57 (37.0%)66 (22.1%)<0.001
Intermediate-high risk81 (55.9%)76 (49.4%)157 (52.5%)
Intermediate-low risk55 (37.9%)20 (13.0%)75 (25.1%)
Low risk0 (0%)1 (0.6%)1 (0.3%)

Bleeding risk
High14 (9.7%)14 (9.1%)28 (9.4%)0.904
Moderate60 (41.4%)68 (44.2%)128 (42.8%)
Low71 (49.0%)72 (46.8%)143 (47.8%)

PE severity/bleeding risk profile
High-risk PE/high bleeding risk2 (1.4%)8 (5.2%)10 (3.3%)<0.001
High-risk PE/moderate bleeding risk3 (2.1%)27 (17.5%)30 (10.0%)
High-risk PE/low bleeding risk4 (2.8%)22 (14.3%)26 (8.7%)
Intermediate-high-risk PE/high bleeding risk11 (7.6%)5 (3.2%)16 (5.4%)
Intermediate-high PE/moderate bleeding risk35 (24.1%)34 (22.1%)69 (23.1%)
Intermediate-high PE/low bleeding risk35 (24.1%)37 (24.0%)72 (24.1%)
Intermediate-low PE/high bleeding risk1 (0.7%)1 (0.6%)2 (0.7%)
Intermediate-low PE/moderate bleeding risk22 (15.2%)6 (3.9%)28 (9.4%)
Intermediate-low PE/low bleeding risk32 (22.1%)14 (9.1%)46 (15.4%)

Clinical site
AH Carolinas Medical Center8 (5.5%)89 (57.8%)97 (32.4%)<0.001
AH Cabarrus34 (23.4%)18 (11.7%)52 (17.4%)
AH Mercy1 (0.7%)1 (0.6%)2 (0.7%)
AH Pineville68 (46.9%)19 (12.3%)87 (29.1%)
AH Union3 (2.1%)7 (4.5%)10 (3.3%)
AH University City28 (19.3%)3 (1.9%)31 (10.4%)
CHS Blue Ridge/Morganton1 (0.7%)2 (1.3%)3 (1.0%)
AH Cleveland0 (0%)9 (5.8%)9 (3.0%)
AH Kings Mountain0 (0%)1 (0.6%)1 (0.3%)
AH Stanly0 (0%)1 (0.6%)1 (0.3%)
Missing2 (1.4%)4 (2.6%)6 (2.0%)