Abstract: . . .  review these guidelines if any major developments occur, or by September 2008 at the latest. Keywords: deep venous thrombosis , outpatient treatment Short title: Guideline Page 2 2 PROCEDURES FOR THE OUTPATIENT MANAGEMENT OF DEEP VENOUS THROMBOSIS Introduction Deep venous thrombosis (DVT) has an incidence which most studies place at around 1 : 1000 patients per year; the incidence increases with age . . .
. . .  initial DVT/PE Administration of ambulatory care Investigation of recurrent DVT/PE Support stockings Patient analgesia Patient education Assessment for ambulatory care Thrombophilia testing Formal medical assessment Anticoagulant therapy Medical follow-up as indicated Liaison with GPs Liaison with GPs  . . .
. . .  care Investigation of recurrent DVT/PE Support stockings Patient analgesia Patient education Assessment for ambulatory care Thrombophilia testing Formal medical assessment Anticoagulant therapy Medical follow-up as indicated Liaison with GPs Liaison with GPs  . . .
. . .  Professor Patrick Vallance, Clinical Pharmacologist, UCH, London Page 10 10 Appendix 1 CLINICAL CARE PATHWAY FOR DVT OUTPATIENT MANAGEMENT Clinical assessment for DVT Suitable for outpatient care? YES NO DVT confirmed? YES NO Patient analgesia Support stockings Establish cause Medical assessment of leg symptoms Need for medical follow-up  . . .
. . .  Freda Sharpen, Anticoagulant Specialist Nurse, Manchester Professor Patrick Vallance, Clinical Pharmacologist, UCH, London Page 10 10 Appendix 1 CLINICAL CARE PATHWAY FOR DVT OUTPATIENT MANAGEMENT Clinical assessment for DVT Suitable for outpatient care? YES NO DVT confirmed? YES NO Patient analgesia Support stockings Establish cause Medical assessment . . .
. . .  the outcome of the post thrombotic syndrome? Thrombosis and Haemostasis 1999;82: 1196-1197. Siragusa S., Cosmi B.,Piovella F.,Hirsh J. Ginsberg J.S. Low molecular weight heparins and unfractionated heparin in the treatment of patients with acute venous thromboembolism: results of a meta-analysis American Journal of Medicine 1996;11100:269-277. Wells P.S.,Kovacs M.J.,Bormanis J. et al Expanding eligibility for outpatient treatment of venous thrombosis and . . .
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