DVT presentations to an emergency department: a study of guideline based care and decision making

Hdl Handle:
http://hdl.handle.net/10147/605072
Title:
DVT presentations to an emergency department: a study of guideline based care and decision making
Authors:
Lillis, D; Lloyd, C; O’Kelly, P; Kelada, S; Kelly, S; Gilligan, P
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Feb-2016
URI:
http://hdl.handle.net/10147/605072
Abstract:
Pre-test probability scoring and blood tests for deep venous thrombosis (DVT) assessment are sensitive, but not specific leading to increased demands on radiology services. Three hundred and eighty-five patients presenting to an Emergency Department (ED), with suspected DVT, were studied to explore our actual work-up of patients with possible DVT relating to risk stratification, further investigation and follow up. Of the 205 patients with an initially negative scan, 36 (17.6%) were brought for review to the ED Consultant clinic. Thirty-four (16.6%) patients underwent repeat compression ultrasound with 5 (2.4%) demonstrating a DVT on the second scan. Repeat compression ultrasound scans were performed on 34 (16.6%) patients with an initially negative scan, with essentially the same diagnostic yield as other larger studies where 100% of such patients had repeat scanning. Where there is ongoing concern, repeat above-knee compression ultrasound within one week will pick up a small number of deep venous thromboses.
Item Type:
Article
Language:
en
Keywords:
DEEP VEIN THROMBOSIS; EMERGENCY CARE

Full metadata record

DC FieldValue Language
dc.contributor.authorLillis, Den
dc.contributor.authorLloyd, Cen
dc.contributor.authorO’Kelly, Pen
dc.contributor.authorKelada, Sen
dc.contributor.authorKelly, Sen
dc.contributor.authorGilligan, Pen
dc.date.accessioned2016-04-12T09:50:35Zen
dc.date.available2016-04-12T09:50:35Zen
dc.date.issued2016-02en
dc.identifier.urihttp://hdl.handle.net/10147/605072en
dc.description.abstractPre-test probability scoring and blood tests for deep venous thrombosis (DVT) assessment are sensitive, but not specific leading to increased demands on radiology services. Three hundred and eighty-five patients presenting to an Emergency Department (ED), with suspected DVT, were studied to explore our actual work-up of patients with possible DVT relating to risk stratification, further investigation and follow up. Of the 205 patients with an initially negative scan, 36 (17.6%) were brought for review to the ED Consultant clinic. Thirty-four (16.6%) patients underwent repeat compression ultrasound with 5 (2.4%) demonstrating a DVT on the second scan. Repeat compression ultrasound scans were performed on 34 (16.6%) patients with an initially negative scan, with essentially the same diagnostic yield as other larger studies where 100% of such patients had repeat scanning. Where there is ongoing concern, repeat above-knee compression ultrasound within one week will pick up a small number of deep venous thromboses.en
dc.languageenen
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectDEEP VEIN THROMBOSISen
dc.subjectEMERGENCY CAREen
dc.titleDVT presentations to an emergency department: a study of guideline based care and decision makingen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.