Management of suspected acute venous thromboembolism in a general and maternity hospital
| Autor: | Gordon D.O. Lowe, I. D. Walker, J. B. Neilly |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Pregnancy Complications Cardiovascular Hospitals Maternity Hospitals General Pregnancy Risk Factors Pulmonary angiography medicine Humans Risk factor Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Retrospective cohort study General Medicine Heparin Middle Aged Thrombophlebitis medicine.disease Surgery Pulmonary embolism Acute Disease Female business Pulmonary Embolism Lower limbs venous ultrasonography Perfusion Partial thromboplastin time medicine.drug |
| Zdroj: | Scottish medical journal. 41(2) |
| ISSN: | 0036-9330 |
| Popis: | A retrospective study of the management of patients with suspected acute deep venous thrombosis (DVT) and pulmonary thromboembolism (PTE) in a general and maternity hospital was conducted over a two month period in 1992. Ninety six patients with suspected D VT/PTE were identified, of whom only two were pregnant. Forty four patients had suspected DVT and confirmatory investigations were performed in 84%. The most common risk factor for DVT was intra-venous drug (IVD) use. Unfractionated heparin was prescribed to all patients except one with acute DVT at an average daily dose of 25,000 iu. Inpatients receiving heparin, 68% had measurements of the activated partial thromboplastin time (APTT) ratio and on 38% of occasions the result was subtherapeutic. Complications of heparin therapy were infrequent. Fifty two patients had suspected PTE and 50 underwent ventilation/perfusion (V/Q) scanning. No patient underwent pulmonary angiography. The management of patients with normal, low and high probability V/Q scans was in keeping with the guidelines, but only 85%o of patients with an intermediate V/Q scan result had further investigations and 33% received heparin. This study revealed sub optimal anticoagulation of patients with acute DVT and scope for improvement in the management of patients with an intermediate V/Q scan result. |
| Databáze: | OpenAIRE |
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