Real-time B-mode ultrasound in the ED saves time in the diagnosis of deep vein thrombosis (DVT)

American Journal of Emergency Medicine

Volumn 22, Issue 3, 2004, Pages 197-200

  Theodoro, Daniel ^b   Blaivas, Michael ^a   Duggal, Sandeep ^b   Snyder, Graham ^b   Lucas, Michael ^b  

^a MEDICAL COLLEGE OF GEORGIA   (United States)

^b NONE

Author keywords

Compression ultrasound; Cost savings; Deep venous thrombosis; Emergency medicine; Emergency ultrasound; Time savings; Ultrasound

Indexed keywords

ARTICLE; B SCAN; CLINICAL TRIAL; DEEP VEIN THROMBOSIS; DIAGNOSTIC IMAGING; DIAGNOSTIC VALUE; DOUBLE BLIND PROCEDURE; EMERGENCY WARD; HUMAN; MEDICAL SPECIALIST; PRIORITY JOURNAL; PROSPECTIVE STUDY;

EID: 2442716559     PISSN: 07356757     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajem.2004.02.007     Document Type: Article

References (28)

1. Wheeler HB: Diagnosis of deep venous thrombosis: review of clinical evaluation and impedance plethysmography. Am J Surg 1985;150(suppl):7-13
2. Leclerc JR, Illescas F, Jarzem P: Diagnosis of deep vein thrombosis. In Leclerc JR, ed. Venous Thromboembolic Disorders. Philadelphia: Lea & Febiger, 1998, pp 176-228
3. ATS Clinical Practice Guideline: The diagnostic approach to acute venous thromboembolism. Am J Respir Crit Care Med 1999; 160:1043-1066
4. Blaivas M, Lambert M, Harwood R, et al: Lower-extremity Doppler for deep venous thrombosis - can emergency physicians be accurate and fast? Acad Emerg Med 2000;7:120-126
5. Chance JF, Abbitt PL, Tegtmeyer CJ, et al: Real-time ultrasound for the detection of deep venous thrombosis. Ann Emerg Med 1991;20:494-496
6. Jolly BT, Massarin E, Pigman EC: Color Doppler ultrasonography by emergency physicians for the diagnosis of acute deep venous thrombosis. Acad Emerg Med 1997;4:129-132
7. Frazee BW, Snoey ER: Diagnostic role of ED ultrasound in deep venous thrombosis and pulmonary embolism. Am J Emerg Med 1999;17:271-278
8. Cogo A, Lensing AW, Prondoni P, et al: Distribution of thrombosis in patients with symptomatic deep vein thrombosis. Implications for simplifying the diagnostic process with compression ultrasound. Arch Intern Med 1993;153:2777-2780
9. Pezzullo JA, Perkins AB, Cronan JJ: Symptomatic deep vein thrombosis: diagnosis with limited compression. US Radiology 1996;198:67-70
10. Heijboer H, Buller HR, Lensing AWA, et al: Comparison of real time compression ultrasonography with impedance plethysmography for the diagnosis of deep-vein thrombosis in symptomatic patients. N Engl J Med 1993;329:1365-1369
11. Blaivas M, Lambert M, Harwood R, et al: Lower-extremity Doppler for deep venous thrombosis - can emergency physicians be accurate and fast? Acad Emerg Med 2000;7:120-126
12. ATS Clinical Practice Guideline: the diagnostic approach to acute venous thromboembolism. Am J Respir Crit Care Med 1999; 160:1043-1066
13. Anderson FA Jr, Wheeler HB, Goldberg RJ, et al: A population-based perspective of the hospital incidence and case-fatality rates of deep-vein thrombosis and pulmonary embolism. The Worcester DVT Study. Arch Intern Med 1991;151:933-938
14. American Hospital Association: Hospital Statistics, 2002 edition. Chicago: Health Forum, LLC, 2002
15. ATS Clinical Practice Guideline: the diagnostic approach to acute venous thromboembolism. Am J Respir Crit Care Med 1999; 160:1043-1066
16. Shields GP, Turnipseed S, Panacek EA, et al: Validation of the Canadian clinical probability model for acute venous thrombosis. Acad Emerg Med 2002;9:561-566
17. Anderson DR, Wells PS, Stiell I, et al: Management of patients with suspected deep vein thrombosis in the emergency department: combining use of a clinical diagnosis model with D-dimer testing. J Emerg Med 2000;19:225-230
18. Farrel S, Hayes T, Shaw M: A negative SimpliRED D-dimer assay result does not exclude the diagnosis of deep vein thrombosis or pulmonary embolus in emergency department patients. Ann Emerg Med 2000;35:121-125
19. Lensing AWA, Prandoni P, Brandjees D, et al: Detection of deep-vein thrombosis by real time B-mode ultrasonography. N Engl J Med 1989;320:343-345
20. Poppiti R, Papanicolaou G, Perese S, et al: Limited B-mode venous imaging versus complete color-flow duplex venous scanning for detection of proximal deep venous thrombosis. J Vasc Surg 1995;22:553-557
21. Pezzullo JA, Perkins AB, Cronan JJ: Symptomatic deep vein thrombosis: diagnosis with limited compression. US Radiology 1996;198:67-70
22. Birdwell B, Raskob G, Whitsett T, et al: The clinical validity of normal compression ultrasonography in outpatients suspected of having deep venous thrombosis. Ann Intern Med 1998;128:1-7
23. Fillinger MF, Zwolak RM, Musson AM, et al: Vascular laboratory cost analysis and the impact of the resource-based relative value scale payment scale. J Vasc Surg 1993;17:267-279
24. Pezzullo JA, Perkins AB, Cronan JJ: Symptomatic deep vein thrombosis: diagnosis with limited compression. US Radiology 1996;198:67-70
25. Krochmal P, Riley PA: Increased health care costs associated with ED overcrowding. Am J Emerg Med 1994;12:265-266
26. Derlet RW, Richards JR: Overcrowding in the nation's emergency departments: complex causes and disturbing effects. Ann Emerg Med 2000;35:63-68
27. Schneider S, Zwemer F, Doniger A, et al: Rochester, New York: a decade of emergency department overcrowding. Acad Emerg Med 2001;8:1044-1050
28. dos Santos LM: Pediatric emergency department walk-outs. Pediatr Emerg Care 1994;10:76-78