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November 1, 1974Archives of Surgery

Venous Thromboembolic Disease

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Key result

A combined diagnostic approach using Doppler ultrasound and impedance outflow testing increased diagnostic accuracy for venous thromboembolism to 95%, compared to 82.9% and 70.9% independently.

Why the study?

Does a combined diagnostic approach using Doppler ultrasound and impedance outflow testing improve diagnostic accuracy in patients with suspected venous thromboembolism?

Population

162 patients with suggestive symptoms or findings of venous thromboembolism

Comparison

Combined diagnostic approach using Doppler… vs Individual use of Doppler ultrasound or…

Design

Cohort

Follow-up

up to two years

Authors

JYJames S.T. YaoNorfolk State University

Discussion

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Overview

Supports higher VTE diagnostic accuracy with combined testing; leaves open prospective validation before clinical adoption.

Study Design

Type

Observational (n=162)

Structured PICO

Does a combined diagnostic approach using Doppler ultrasound and impedance outflow testing improve diagnostic accuracy in patients with suspected venous thromboembolism?

P
Population
162 patients with suggestive symptoms or findings of venous thromboembolism evaluated with a combined diagnostic approach and followed for up to two years.
E
Exposure
Combined diagnostic approach using Doppler ultrasound, impedance outflow testing, and radionuclide phlebography with simultaneous lung scanning
C
Comparator
Individual use of Doppler ultrasound or impedance outflow testing
O
Outcome
Diagnostic accuracysurrogate

A combined noninvasive diagnostic approach significantly improves the accuracy of detecting venous thromboembolism and safely identifies patients who do not require treatment.

Cite This Study

James S.T. Yao (1974) conducted an observational in Venous thromboembolism (n=162). Combined diagnostic approach (Doppler ultrasound and impedance outflow testing) vs. Independent use of diagnostic techniques was evaluated on Diagnostic accuracy. A combined diagnostic approach using Doppler ultrasound and impedance outflow testing increased diagnostic accuracy for venous thromboembolism to 95%, compared to 82.9% and 70.9% independently.

synapsesocial.com/papers/6a99c33e8068f13e22fa4eabhttps://doi.org/10.1001/archsurg.1974.01360050058014

Topics

Pulmonary embolism
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Combined Isotope Venography and Lung Scanning1973 · 25 citations
  2. 2Limitations of Impedance Phlebography for Diagnosis of Venous Thrombosis1973 · 29 citations
  3. 3Deep vein thrombosis. Diagnosis.1969 · 37 citations
  4. 4Diagnosis of Lower Limb Venous Thrombosis by Doppler Ultrasound Technique1972 · 101 citations
  5. 5Iliofemoral venous thrombosis. Pathological considerations and surgical management1969 · 119 citations