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dc.contributor.authorKidney, R
dc.contributor.authorHosny, G
dc.contributor.authorCanning, M B
dc.contributor.authorKong, V
dc.contributor.authorBarton, D
dc.contributor.authorWakai, A
dc.date.accessioned2011-02-18T13:07:38Z
dc.date.available2011-02-18T13:07:38Z
dc.date.issued2010-09
dc.identifier.citationImplementation of a clinical pathway for emergency department out-patient management of deep vein thrombosis. 2010, 103 (8):246-8 Ir Med Jen
dc.identifier.issn0332-3102
dc.identifier.pmid21046868
dc.identifier.urihttp://hdl.handle.net/10147/122318
dc.description.abstractThere is good evidence demonstrating that outpatient management of deep venous thrombosis (DVT) is feasible and safe. However, few emergency departments in Ireland have implemented care pathways for outpatient management of DVT. The aim of this study was to examine the safety and efficacy of implementing an Emergency Department (ED)- care pathway for outpatient management of patients with DVT. A retrospective observational study of this care pathway introduced at our institution was performed. The primary outcome measure was the number of hospital admissions avoided by using the care pathway. Two hundred and eighty-four patients presenting to the ED with suspected lower limb DVT, were managed using the care pathway over a 6 month period. Forty-nine patients (17%) had a DVT diagnosed. Thirty-nine patients (81%) were suitable for outpatient DVT management. Ten patients (19%) were admitted to hospital. At 3 months there were no reported cases of the following complications: missed DVT, pulmonary embolism or death.
dc.language.isoenen
dc.subject.meshCritical Pathways
dc.subject.meshEmergency Service, Hospital
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshIreland
dc.subject.meshMale
dc.subject.meshRetrospective Studies
dc.subject.meshUltrasonography, Doppler
dc.subject.meshVenous Thrombosis
dc.titleImplementation of a clinical pathway for emergency department out-patient management of deep vein thrombosis.en
dc.typeArticleen
dc.contributor.departmentSt Vincent's University Hospital, Elm Park, Dublin 4. whatsupdocrk@yahoo.co.uken
dc.identifier.journalIrish medical journalen
refterms.dateFOA2018-08-22T11:09:29Z
html.description.abstractThere is good evidence demonstrating that outpatient management of deep venous thrombosis (DVT) is feasible and safe. However, few emergency departments in Ireland have implemented care pathways for outpatient management of DVT. The aim of this study was to examine the safety and efficacy of implementing an Emergency Department (ED)- care pathway for outpatient management of patients with DVT. A retrospective observational study of this care pathway introduced at our institution was performed. The primary outcome measure was the number of hospital admissions avoided by using the care pathway. Two hundred and eighty-four patients presenting to the ED with suspected lower limb DVT, were managed using the care pathway over a 6 month period. Forty-nine patients (17%) had a DVT diagnosed. Thirty-nine patients (81%) were suitable for outpatient DVT management. Ten patients (19%) were admitted to hospital. At 3 months there were no reported cases of the following complications: missed DVT, pulmonary embolism or death.


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