| Non-compressibility ratio of sonography in deep venous thrombosis. | |
| | |
MedLine Citation:
|
PMID: 21093823 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
BACKGROUND: The risk of post-thrombotic syndrome and pulmonary embolism can be increased if there is failure to diagnose deep venous thrombosis (DVT) promptly. Emergency physicians (EPs) need a quick and readily available test to diagnose, treat and help them decide whether to discharge or admit DVT patients in a timely manner. The aim of this study was to investigate the value of the non-compressibility ratio of thrombosed veins in DVT patients, and give EPs an objective value to aid them in their decision-making with regard to DVT patients in the emergency department. METHODS: We reviewed 34 adult patients with DVT diagnosed by sonography in an emergency department. Medical records including demographic data and sonography results were retrospectively reviewed and analyzed. RESULTS: Mean age was 72.9 ± 16.5 years. Group I comprised 14 patients (41.2%) who had DVT in the popliteal and femoral veins. Group II comprised 8 patients (23.5%) who had DVT isolated to the popliteal vein and 12 patients (35.3%) who had DVT isolated to the femoral vein. Group I had a significantly higher non-compressibility ratio than Group II (93.4 ± 6.2% vs. 80.1 ± 19.2%, p < 0.05). The area under the receiver operating characteristic curve of the non-compressibility ratio between discriminating groups was 0.711 (95% confidence interval, 0.527-0.854; p < 0.05). The clinical prognostic score of Group I was significantly higher than that of Group II (6.2 ± 1.8 vs. 4.1 ± 2.6, p < 0.05). There was a significant positive correlation between the non-compressibility ratio of the thrombosed vein and the clinical prognostic score (p = 0.001). CONCLUSION: The non-compressibility ratio of the thrombosed vein provides EPs with an objective test to evaluate the severity of DVT and to admit patients for consideration of adverse outcomes. |
| | |
Authors:
|
Jian-Hsiung Tsao; Chia-Ying Tseng; Jui-Ling Chuang; Yen-Chia Chen; Hsien-Hao Huang; Yi-Hong Chou; Chui-Mei Tiu; David Hung-Tsang Yen |
Related Documents
:
|
7146823 - Improvement of some blood coagulation factors in cirrhotic patients treated with low do... 2300923 - Fibrinopeptide a changes during remission induction treatment with l-asparaginase in ac... 7867113 - Regional anaesthesia for circumcision in adults: a comparative study. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of the Chinese Medical Association : JCMA Volume: 73 ISSN: 1728-7731 ISO Abbreviation: J Chin Med Assoc Publication Date: 2010 Nov |
Date Detail:
|
Created Date: 2010-11-24 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101174817 Medline TA: J Chin Med Assoc Country: China (Republic : 1949- ) |
Other Details:
|
Languages: eng Pagination: 563-7 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Elsevier. Published by Elsevier B.V. All rights reserved. |
Affiliation:
|
Department of Emergency Medicine, Taipei Veterans General Hospital, Taipei, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Individuals sustaining snowboarding and skiing accidents have different maxillofacial injury profile...
Next Document: Comparison of transrectal ultrasound-guided biopsy of the prostate and transurethral resection of th...