Patient follow-up after negative lower extremity bedside ultrasound for deep venous thrombosis in the ED

The American Journal of Emergency Medicine
S Timothy McIlrathMatthew Lyon

Abstract

To evaluate the rate of patient compliance with follow-up ultrasound (US) examinations 5 to 7 days after emergency physician EP performed US exams to rule out lower extremity deep venous thrombosis (DVT) in the ED. This was a prospective observational study at a level I ED with a residency program, US training program, and an annual census of 75000. Hospital-based emergency US credentialing is available and derived from American College of Emergency Physicians guidelines. Five US-credentialed emergency physicians participated in the study. All patients who received negative lower extremity DVT US exams were eligible. All higher risk patients were given verbal and written instructions and provided with prescriptions to have a follow-up US examination 5 to 7 days after their examination in the ED. Those classified as "low risk" based on Wells criteria were excluded. After 3 months, patients were contacted via telephone and asked questions regarding their follow-up US examinations, reasons for not following up, continued symptoms, and thromboembolic events. Statistical methods included descriptive statistics. One hundred fifty-nine patients were eligible for enrollment during the 10-month study period. Eighty-five patients (54%) f...Continue Reading

References

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Citations

Jun 19, 2012·La Revue de médecine interne·J-P GalanaudI Quéré
Aug 1, 2007·Journal of Thrombosis and Haemostasis : JTH·S M Schellong
May 1, 2012·Social Issues and Policy Review·Amanda E Staiano, Sandra L Calvert
Dec 4, 2014·Annals of Emergency Medicine·Srikar AdhikariJ Matthew Fields
Dec 3, 2014·The Journal of Emergency Medicine·Christopher R TainterReuben J Strayer

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