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 New Guidelines for Thromboembolism Issued

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Number of posts : 112
Registration date : 2006-12-09

PostSubject: New Guidelines for Thromboembolism Issued   Wed Jan 31, 2007 1:55 am

New Guidelines for Thromboembolism Issued

There are new guidelines for venous thromboembolism.

Issued jointly by the American Academy of Family Physicians and the American College of Physicians, the guidelines include the following recommendations:

-- Use validated prediction rules (such as the Wells prediction rules) to estimate pretest probabilities of disease.

-- In patients with low pretest probabilities, use a D-dimer test to rule out deep-venous thrombosis and pulmonary embolism.

-- Use ultrasound to investigate those with intermediate to high pretest probabilities of deep-venous thrombosis in lower extremities.

-- In suspected pulmonary embolism, patients with intermediate or high pretest probabilities of disease require imaging studies.

-- Use low-molecular-weight heparin for the initial inpatient treatment of deep venous thrombosis (either unfractionated or low-molecular-weight forms may be used for pulmonary embolism).

-- Outpatient treatment of deep venous thrombosis (and possibly pulmonary embolism) with low-molecular-weight heparin is safe for selected patients.

-- Use compression stockings within a month of diagnosis and continue for at least a year
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