Implementation of a clinical pathway for emergency department out-patient management of deep vein thrombosis.

Hdl Handle:
http://hdl.handle.net/10147/122318
Title:
Implementation of a clinical pathway for emergency department out-patient management of deep vein thrombosis.
Authors:
Kidney, R; Hosny, G; Canning, M B; Kong, V; Barton, D; Wakai, A
Affiliation:
St Vincent's University Hospital, Elm Park, Dublin 4. whatsupdocrk@yahoo.co.uk
Citation:
Implementation of a clinical pathway for emergency department out-patient management of deep vein thrombosis. 2010, 103 (8):246-8 Ir Med J
Journal:
Irish medical journal
Issue Date:
Sep-2010
URI:
http://hdl.handle.net/10147/122318
PubMed ID:
21046868
Abstract:
There is good evidence demonstrating that outpatient management of deep venous thrombosis (DVT) is feasible and safe. However, few emergency departments in Ireland have implemented care pathways for outpatient management of DVT. The aim of this study was to examine the safety and efficacy of implementing an Emergency Department (ED)- care pathway for outpatient management of patients with DVT. A retrospective observational study of this care pathway introduced at our institution was performed. The primary outcome measure was the number of hospital admissions avoided by using the care pathway. Two hundred and eighty-four patients presenting to the ED with suspected lower limb DVT, were managed using the care pathway over a 6 month period. Forty-nine patients (17%) had a DVT diagnosed. Thirty-nine patients (81%) were suitable for outpatient DVT management. Ten patients (19%) were admitted to hospital. At 3 months there were no reported cases of the following complications: missed DVT, pulmonary embolism or death.
Item Type:
Article
Language:
en
MeSH:
Critical Pathways; Emergency Service, Hospital; Female; Humans; Ireland; Male; Retrospective Studies; Ultrasonography, Doppler; Venous Thrombosis
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorKidney, Ren
dc.contributor.authorHosny, Gen
dc.contributor.authorCanning, M Ben
dc.contributor.authorKong, Ven
dc.contributor.authorBarton, Den
dc.contributor.authorWakai, Aen
dc.date.accessioned2011-02-18T13:07:38Z-
dc.date.available2011-02-18T13:07:38Z-
dc.date.issued2010-09-
dc.identifier.citationImplementation of a clinical pathway for emergency department out-patient management of deep vein thrombosis. 2010, 103 (8):246-8 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid21046868-
dc.identifier.urihttp://hdl.handle.net/10147/122318-
dc.description.abstractThere is good evidence demonstrating that outpatient management of deep venous thrombosis (DVT) is feasible and safe. However, few emergency departments in Ireland have implemented care pathways for outpatient management of DVT. The aim of this study was to examine the safety and efficacy of implementing an Emergency Department (ED)- care pathway for outpatient management of patients with DVT. A retrospective observational study of this care pathway introduced at our institution was performed. The primary outcome measure was the number of hospital admissions avoided by using the care pathway. Two hundred and eighty-four patients presenting to the ED with suspected lower limb DVT, were managed using the care pathway over a 6 month period. Forty-nine patients (17%) had a DVT diagnosed. Thirty-nine patients (81%) were suitable for outpatient DVT management. Ten patients (19%) were admitted to hospital. At 3 months there were no reported cases of the following complications: missed DVT, pulmonary embolism or death.-
dc.language.isoenen
dc.subject.meshCritical Pathways-
dc.subject.meshEmergency Service, Hospital-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMale-
dc.subject.meshRetrospective Studies-
dc.subject.meshUltrasonography, Doppler-
dc.subject.meshVenous Thrombosis-
dc.titleImplementation of a clinical pathway for emergency department out-patient management of deep vein thrombosis.en
dc.typeArticleen
dc.contributor.departmentSt Vincent's University Hospital, Elm Park, Dublin 4. whatsupdocrk@yahoo.co.uken
dc.identifier.journalIrish medical journalen

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