Management of suspected deep venous thrombosis in an emergency medicine ward in Hong Kong
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摘要Introduction: Clinical signs and symptoms can vary for patients with deep venous thrombosis (DVT). DVT is an important diagnosis to recognise as it can lead to proximal embolism into the pulmonary circulation resulting in sudden collapse and death. The objective of this study is to describe the management of patients with suspected DVT in the emergency medicine ward (EMW) setting in Hong Kong using a standardised clinical pathway. Methods: A retrospective review was conducted for patients with suspected DVT admitted to the EMW from April to December 2008 using a standardised protocol. The use of a clinical prediction rule and diagnostic tests (including the modified Well's score, D-dimer and ultrasound examination) and outcomes (including the length of stay and secondary admission rate) were investigated. Results: A total of 100 patients with suspected DVT were admitted to the EMW in the nine-month study period. DVT was confirmed in 30% using ultrasonography. Fifty-two percent of patients were in the high-risk category according to the modified Well's score. Seventy-six percent of patients had positive D-dimer results. Ten percent of patients were safely discharged without an ultrasound examination. Mean length of stay in the EMW was 1.99 days. Thirteen percent of patients required second admission to other specialties. Conclusions: This study suggests that a standardised clinical pathway based in the EMW can be used for patients with suspected DVT to reduce hospital admission. (Hong Kong j.emerg.med. 2011;18:13-19)
著者Hung KKC, Graham CA, Yim WT, Yam ESF, Cheung NK, Rainer TH
期刊名稱HONG KONG JOURNAL OF EMERGENCY MEDICINE
出版年份2011
月份1
日期1
卷號18
期次1
出版社MEDCOM LTD
頁次13 - 19
國際標準期刊號1024-9079
語言英式英語
關鍵詞Clinical decision unit; clinical prediction rule; D-dimer; short stay unit
Web of Science 學科類別Emergency Medicine; EMERGENCY MEDICINE

上次更新時間 2020-26-11 於 01:04