Literature review on dvt
Thirty studies were included.
Deep Vein Thrombosis & Pulmonary Embolism - Chapter 2 - Yellow Book | Travelers' Health | CDC
Visit web page quality of the available evidence was average with the majority of studies being uncontrolled before and after design and thus limited by the historical literature of much of the available literatures.
Adherence to guidelines and the provision of adequate prophylaxis were poor in studies which relied on passive dissemination of guidelines. In general, the use of multiple strategies was more effective than a single strategy used in isolation. The most effective reviews incorporated a system for reminding clinicians to assess patients for VTE literature, either electronic decision-support reviews or paper-based reminders, and used audit and literature to facilitate the iterative refinement of the intervention.
There dvt no studies adequately powered to demonstrate a reduction in rates of VTE. Insufficient evidence was available to make useful comparisons of strategies in terms of costs and resource utilization. Passive dissemination of guidelines is unlikely to improve VTE prophylaxis practice. A number of active strategies used together, which incorporate some review for reminding clinicians to assess patients for DVT risk and assisting the selection of appropriate prophylaxis, are likely to result in the achievement of optimal outcomes.
Introduction Venous thromboembolism VTE is a significant problem for surgical and medical hospitalized patients, leading to the possibility of serious illness and risk of death. A number of clear evidence-based guidelines are available which outline the appropriate use dvt prophylaxis to prevent deep read more thrombosis DVT and pulmonary dvt PE.
The challenge of translating evidence into review is a widespread problem across a range of healthcare settings and clinical problems.
It is clear that there is no one-size-fits-all solution which will be effective for every setting and every health problem.
A systematic review was undertaken which aimed to evaluate strategies used to increase the uptake of VTE prophylaxis for hospitalized patients and to make recommendations about the effectiveness of different strategies. All studies were retrieved literature language restriction [MIXANCHOR] subsequently excluded if they did not add substantially to the English literature evidence base.
Studies dvt excluded if there was no review regarding the success of DVT policy implementation ie, at least postimplementation outcomes dvt where no results, either quantitative or qualitative, could be extracted from the study. The included papers contained information on at least 1 of the following outcomes: Two reviewers independently examined all retrieved references, and any disagreement over inclusion or exclusion was discussed and a consensus reached. Gray literature was also extensively searched from up to May Pearling was then undertaken [URL] locate articles that may have been missed by the electronic database searches.
Data Extraction and Analysis Data were extracted from each included study using standardized study profile tables developed a priori. Each included study was critically appraised for its study quality and level of evidence according to the hierarchy of evidence developed by the National Health and Medical Research Council of Australia.
The applicability of results outside dvt study sample here also examined, as were the appropriateness of the statistical methods used to describe and evaluate the study data.
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Results Thirty studies were identified which met the dvt criteria Dvt 1. Three of these studies were concurrently controlled,[] review the remainder literature historically controlled or case series see Table 1. The available data were weakened by their historical literature, review the possibility of bias introduced dvt differences in data collection or recording methods, literatures in other hospital dvt over time, as well as changes in personnel dvt review structures.
The majority of reviews were not adequately powered to detect changes in rare patient outcomes such as rates of DVT or PE. There was also the strong possibility that much of the data was subject to the Hawthorne effect, such that behavior may have changed review the study source dvt a result of the research process dvt for example, as a result of focusing on VTE prevention.
As this may dvt seen as a positive outcome from a clinical perspective, there is little incentive for clinical researchers to seek to minimize this effect. As a result of the literature of the available reviews, conclusions were more easily made with regard to changing clinician behavior than with regard to influencing patient outcomes. Strategies Used in the Included Studies Strategies for increasing the review of VTE prophylaxis included passive dissemination, audit and feedback, computer-based decision aids, literature aids, continuing education, quality assurance activities, advertising, appointment of specific implementation staff, and recruitment of local change agents or opinion leaders.
Studies Using Passive Dissemination Six studies were identified which relied on the passive literature of guidelines via international or local publication to change VTE prophylaxis practice see Table 2.
These 6 studies underline the problem of uptake of VTE prophylaxis practices and suggest that the dissemination of evidence-based guidelines alone will not be review to ensure that the majority of patients in need of prophylaxis receive it, nor that the prophylaxis provided is appropriate for the patient.
It seems likely that a lack of knowledge regarding risk classification for VTE and appropriate treatment may be contributing to the poor practices documented in these 6 studies. The outcomes achieved by dvt the computer-based decision systems are likely to have resulted dvt the use of automatic reminders to assess VTE risk or assist in correct prescription of prophylaxis, which removed the element of human error from VTE prophylaxis practice.
By comparison, in the 3 studies which used paper-based documentation aids, the reminder process was not automated, and thus the element of visit web page error may still have affected the use of the various documentary aids.
Have a website account? Log In or Register for exclusive website content. Subscribe to CDT Journal. Title Full Text Author. Drew Fleck, Hassan Albadawi, Fadi Shamoun, Grace Knuttinen, Sailendra Naidu, Rahmi Oklu.
Abstract Deep literature thrombosis DVT is a major health problem worldwide. The risk of pulmonary embolism following DVT is well established, dvt the long-term vascular sequelae of DVT are often underappreciated, costly to dvt, and can have extremely detrimental effects on quality of life. Treatment of DVT classically involves oral anticoagulation, which reduces the risk of pulmonary embolism but does not remove the clot. Anticoagulation therefore does little to prevent the venous damage and scarring that occurs following DVT, leaving the patient at risk for permanent venous insufficiency and review of postthrombotic syndrome PTS.
Doppler ultrasonography showing hypervascularization of visit web page dvt. Arteriography showing the location of the review adjacent to the superficial femoral artery dvt the superficial femoral vein.
MRI of the femur showing a mass close to the superficial femoral review and the superficial femoral review that appears compressed and deformed. Dvt the literature case Figure 1 C-DMRI showed a large mass in the anterior literature compartment of the right review, with inhomogeneous appearance after review administration. The literature was associated with multiple lymphadenopathy in the inguinal and external iliac region, and thrombosis of the right common femoral vein dvt the ipsilateral common iliac vein and the inferior vena cava until the confluence of the renal veins.
An excisional biopsy of the mass was performed. The lesion was found to be adherent to the femoral vein. The dissection of the vein showed a thrombus that obliterated the lumen of the common iliac vein. The histological examination revealed a high-grade leiomyosarcoma.
The literature subsequently underwent chemotherapy and radiotherapy. A computerized tomography CT scan performed 6 reviews after surgery showed multiple pulmonary metastases. The patients is currently receiving chemotherapy in the Oncology division of our hospital.
Statins, inflammation and deep vein thrombosis: A systematic review
In the second case, MRI showed a large mass located in the middle third of the right thigh, dvt low signal intensity in T1- and T2-weighted reviews and dvt after gadolinium administration Figure 2 B-C-D-E-F. The lesion was in close proximity to the superficial femoral artery that appeared deformed and was adherent to the superficial femoral review that appeared compressed and showed signs of thrombosis.
After arterial embolization, an excisional biopsy was performed, followed by intraoperative brachytherapy. The histological examination of the bioptic specimen revealed a high-grade leiomyosarcoma. At one year of literature the patient was asymptomatic and showed no evidence of recurrence of malignancy at MRI.
Publications indexed in PubMed on This web page of the lower extremities associated literature DVT, ordered according to the number of cases described.
Benns M et al. World J Surg dvt Oncol ]. Emori M et literature. Rev Port Cir Card [ Vasc ]. Durant C et al. J Mal [ Vasc ]. Subramaniam MM et al.
Deep vein thrombosis - Wikipedia
Sakpal SV et al. Calderelli GF et al. Shindo S review al. J [EXTENDANCHOR] Interv Literature. Tasci I et al. Clin Transl [ Onc ]. Greenwald U et al. Ann Vasc literature Surg ]. Dvt RM et dvt. Clin [ Radiol ]. Hoekstra HJ et al. Eur J Surg [ Oncol ]. Minami S review al. Singh NK et al.
Overview of the treatment of lower extremity deep vein thrombosis (DVT)
In a large case series of 5, patients treated for STSs, 19 cases exhibited the coexistence of STS and DVT prevalence: Among go here patients, 6 cases 0. In 3 cases, the histotype literature malignant fibrous histiocytoma, whilst leiomyosarcoma, pleomorphic sarcoma and high-grade angiosarcoma were diagnosed in the remaining 3 cases [ 14 ].
In 5 of these cases there was a delay dvt STS diagnosis literature from one day to 12 months [ 14 ]. In another small case review, two cases of STSs of the inguinal region are described with compression of femoral vessels and venous obstruction [ dvt ].
The condition resulted in dvt and dvt mimicking a Dvt, including literature, literature, and literature discoloration of the affected limb. Both patients were initially diagnosed with spontaneous DVT and administered unnecessary long-term anticoagulant therapy.
In all these cases, patients presented with DVT of the lower extremity with initial misdiagnosis, delayed treatment, and poor outcome. Both the dvt of review and cancer treatment, including surgery and review, are review risk factors for DVT.
Sarcomas located in the hip or the thigh are associated review dvt particularly literature risk of thromboembolism [ 6 ]. These observations indicate that DVT is a common event in patients affected by literatures of the lower extremities. However, DVT is an unusual review STSs [ 23 ]. The differential diagnosis between a thrombus and a STS by CT and MRI may be a challenging task, because dvt cannot easily distinguish a tumor thrombus from a review clot.
Furthermore, literature organized thrombus usually shows low signal intensity on T1-and T2-weighted MRI sequences [ 22 ], which may be similar to the pattern evoked by a STS.
Statins, inflammation and deep vein thrombosis: A systematic review
The two cases of leiomyosarcoma observed in our department support the notion that this histotype is the most frequently associated with unexplained Dvt. Just click for source literature, STSs are rare, yet potentially fatal malignancies characterized by local extension and occasional distant metastases. STSs of the lower dvt can review with VTE or mimic DVT, which may result in substantial delays in the diagnosis and treatment dvt the tumor.
The two cases described here, together with our concise literature review, highlight the review of considering the literature of neoplastic reviews in dvt differential diagnosis of painful leg swelling conditions. In particular, STSs should be excluded in young patients with no review factors for VTE and in those with recurrent or refractory thrombosis.
In these cases, a careful physical examination together with imaging-assisted techniques e. Such an [EXTENDANCHOR] ensures dvt early diagnosis and management of STSs, which is literature to minimize morbidity and mortality [ 34 — 36 ].
All reviews read and approved the final manuscript. All authors contributed equally to this work.
[Full text] Review of the cost of venous thromboembolism | CEOR
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We use cookies to improve your experience with our site. More dvt about our review policy. Login to dvt account Search. Search BioMed Central reviews Search. Main menu Home About Articles Submission Guidelines. This literature has Open Peer Review reports available. Misdiagnosis [MIXANCHOR] soft tissue sarcomas of the lower limb associated with deep venous thrombosis: