Deep Vein Thrombosis (DVT)

noreply@blogger.com (Jon Brassey) — Sun, 29 Apr 2007 07:50:00 +0000

This review is a pragmatic attempt to highlight recent research and some backround reading in DVT. It should not be considered exhaustive, simply a way of reviewing some of the major developments and current thinking in the area.

Related review: Anticoagulation

Click here to see all the TRIP Evidence Reviews.

Evidence-Based Reports

Safety of a D-dimer based strategy and repeated ultrasonography did not differ in DVT and normal proximal vein ultrasonography. Evidence-Based Medicine (Requires free registration), 2006
DVT after knee arthroscopy. Bandolier, 2006
Travel and DVT: brief update. Bandolier, 2004
A question of stockings. Bandolier, 2007
Review: a low clinical probability plus a normal D-dimer test result excludes a diagnosis of deep venous thrombosis. Evidence-Based Medicine (Requires free registration), 2005
Review: several factors are associated with the performance of D-dimer assays for detecting deep venous thrombosis. Evidence-Based Medicine (Requires free registration), 2005

Clinical Guidelines

Venous thromboembolism. NICE, 2007
Deep vein thrombosis. PRODIGY, 2006
Deep vein thrombosis - advice for travellers on prevention. PRODIGY, 2006
Procedures for the outpatient management of patients with deep venous thrombosis. British Committee for Standards in Haematology, 2005
DVT prophylaxis in major orthopedic surgery. The Thrombosis Interest Group of Canada, 2006
Suspected upper extremity deep vein thrombosis (DVT). American College of Radiology, 2005
Suspected lower extremity deep vein thrombosis. American College of Radiology, 2005
Prevention of deep vein thrombosis. University of Iowa Gerontological Nursing Research Center, 2006
Deep venous thrombosis. Finnish Medical Society Duodecim, 2006

Systematic Reviews

Diagnosis of deep vein thrombosis and pulmonary embolism in pregnancy: a systematic review. DARE, 2006
How should we diagnose suspected deep-vein thrombosis? NHS Economic Evaluation Database, 2006
Measurement of the clinical and cost-effectiveness of non-invasive diagnostic testing strategies for deep vein thrombosis. NCCHTA, 2006
Compression stockings for preventing deep vein thrombosis in airline passengers. Cochrane Database of Systematic Reviews, 2006
Meta-analysis: the value of clinical assessment in the diagnosis of deep venous thrombosis. DARE, 2005

Recent articles in core journals

Twice vs three times daily heparin dosing for thromboembolism prophylaxis in the general medical population: A metaanalysis. Chest, 2007
DVT and Pulmonary Embolism: Part I. Diagnosis. American Family Physician, 2004
DVT and Pulmonary Embolism: Part II. Treatment and Prevention. American Family Physician, 2004
Management of venous thromboembolism: a systematic review for a practice guideline. Annals of Internal Medicine, 2007
Predicting adverse outcome in outpatients with acute deep vein thrombosis. findings from the RIETE Registry. J Vasc Surg, 2006
The rate of bleeding complications after pharmacologic deep venous thrombosis prophylaxis: a systematic review of 33 randomized controlled trials. Arch Surg, 2006
The Wells rule does not adequately rule out deep venous thrombosis in primary care patients. Annals of Internal Medicine, 2005
Risk of deep vein thrombosis and pulmonary embolism after acute infection in a community setting. Lancet, 2006

eTextbooks

Clinical Queries

What is the most appropriate therapy for a patient with a calf deep venous thrombosis (DVT)? FPIN, 2005 View answer OR Can you answer this question for extra CPD?
A man with a previous DVT and PE how long does he remain at increased risk of future dvt/PE? NLH Q&A Service, 2005 View answer OR Can you answer this question for extra CPD?
How confident can I be that a patient with the clinical picture of a DVT, but negative D dimer and venometry, does not have a DVT? NLH Q&A Service, 2005
What is the current advice for DVT prophylaxis for long haul flights for patients with history of DVT or thrombotic episode(s)? NLH Q&A Service, 2006
With increasing use of d dimer near patient test for DVT diagnosis in the surgery, does the d dimer test have a role in helping to diagnose (or exclude) a pulmonary embolus? NLH Q&A Service, 2007
For a woman with a history of deep vein thrombosis (DVT), using warfarin what contraceptive choices are available? FFPRHC, 2005
What are the current recommended guidelines regarding the duration of warfarinisation in 1st episode DVT or PE? ATTRACT, 2006
How useful is the D-dimer test in diagnosing DVT? NLH Q&A Service, 2006 View answer OR Can you answer this question for extra CPD?
Is the use of D-dimers (to exclude DVT) justified in primary care and if so should this be used in conjunction with wells criteria? NLH Q&A Service, 2006
What tests should one order to investigate a recurrent DVT in a 60 year old man? NLH Q&A Service, 2006

Patient Information

TRIP Evidence Reviews: DVT

Deep Vein Thrombosis (DVT)