Eligibility for home treatment of deep vein thrombosis: prospective study

doi:10.1136/bmj.322.7296.1212

BMJ 2001;322:1212-1213 ( 19 May )

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Eligibility for home treatment of deep vein thrombosis: prospective study

Editorial by Eikelboom and Baker

Thomas Schwarz, clinical research fellow, Benjamin Schmidt, clinical research fellow, Ulrike Höhlein, medical student, Jan Beyer, clinical research fellow, Hans-Egbert Schröder, professor, Sebastian M Schellong, consultant.

Department of Internal Medicine, Division of Vascular Medicine, University Hospital "Carl Gustav Carus", D-01307 Dresden, Germany

Correspondence to: T Schwarz tho_schwarz@hotmail.com

The first 150 words of the full text of this article appear below.

Low molecular weight heparin is safe and effective for the treatment of deep vein thrombosis.¹ We have recently shown ina randomised study that immobilisation is not necessary.² Theresults challenge the traditional notion that these patients mustbe treated in hospital. For selected patients, outpatient treatmenthas been shown to be safe and effective. ³ ⁴ We determinedthe proportion of patients who still require admission to hospitalandwhy.

Methods and results

Between 1 November 1998 and 15 August 1999 all patients presenting to the vascular diagnostics unit of the University HospitalDresden, Germany, as outpatients with acute deep vein thrombosisin the leg were prospectively evaluated regarding eligibilty forhome treatment. We defined acute deep vein thrombosis as non-compressibledeep veins on ultrasonography (UM9 HDI, linear array 4-7 MHz,ATL, Bothell, Washington, DC) and symptoms that had been presentfor less than two weeks. Written informed consent was obtainedfrom allpatients.

On the day of diagnosis . . . [Full text of this article]

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