Impact of training program on the diagnosis and prognosis of pulmonary embolism

doi:10.3969/j.issn.1674-3806.2014.11.01

Abstract：Objective To explore the impact of a training program for venous thromboembolism on the diag-nosis and prognosis of pulmonary embolism ( PE) in Guangxi .Methods Thirteen hospitals in Guangxi were included and the groups consisting of doctors and nurses of respiratory department , radiologists and sonologists from the hospi-tals were trained intensively in a class in late 2008 .The training program included venous thromboembolism epidemi-ology, clinical manifestation, diagnosis and management .After that, the trainers guided the trainees through inter-net, telephone or at present .The training effect were evaluated by comparison of PE cases , diagnostic techniques and hospital mortality between 2005~2007 and 2009~2011 .Results Comparing with 2005~2007 , PE incidence in re-spiratory hospitalizations raised significantly from 2009 to 2011[1.03%(604/58 530) vs 0.71%(273/38 581), P<0.001 ] and proportion of definite PE cases to all PE also increased significantly [ 73.01%( 441/604 ) vs 64.84%(177/273), P=0.014].CT pulmonary angiography was the key diagnostic technique in both two periods (95.69%among 2005~2007 and 92.95%among 2009~2011 ) .The hospital mortality in 2005~2007 and 2009~2011 were 16.12%( 44/273 ) and 8.61%( 52/604 ) , respectively ( P =0.017 ) .Conclusion Training program of venous thromboembolism improves the level of diagnosis and prognosis of PE .