Key result
Specialized inpatient DVT care is linked to ~42% greater two-year vein recanalization versus non-specialized care.
Why the study?
To evaluate the effectiveness of conservative treatment in the acute period of deep vein thrombosis by examining the course of postthrombotic syndrome in short- and long-term observation.
Does specialized inpatient treatment by an angiosurgeon improve deep vein recanalization and reduce the severity of postthrombotic syndrome in patients with acute deep vein thrombosis?
Population
105 patients with DVT of lower limbs
Comparison
Inpatient treatment by an angiosurgeon under a new regimen vs treatment in outpatient settings or other facilities without a specialist
Design
Comparative cohort study
Authors
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Specialized inpatient care was associated with higher recanalization; leaves open whether RCTs would confirm reduced postthrombotic syndrome severity.
Cohort (n=105)
No
Does specialized inpatient treatment by an angiosurgeon improve deep vein recanalization and reduce the severity of postthrombotic syndrome in patients with acute deep vein thrombosis?
Absolute Event Rate: 86.4% vs 61%
Specialized inpatient management of acute DVT by an angiosurgeon is associated with higher rates of vein recanalization and a milder course of postthrombotic syndrome compared to non-specialized or outpatient care.
Radzhabov et al. (2019) conducted a cohort in Deep vein thrombosis (n=105). Specialized inpatient conservative treatment vs. Non-specialized or outpatient treatment was evaluated on Recanalization of deep veins by the end of the second year. Specialized inpatient treatment for acute deep vein thrombosis increased vein recanalization at two years to 86.4% compared to 61% with non-specialized care.
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