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Deep venous thrombosis: diagnosis in spinal cord injured patients.
Arch Phys Med Rehabil. 1985 Jun; 66(6):365-8.AP

Abstract

Because the acute spinal cord injured patient is at high risk for the development of deep venous thrombosis (DVT), accurate diagnosis is critical. Clinical evaluation is unreliable 50% of the time, however, and the two highly accurate diagnostic procedures--venography and 125I-labelled fibrinogen scanning--are invasive and present serious drawbacks. The literature concerning the effectiveness of the two most widely used noninvasive diagnostic alternatives (Doppler ultrasound and venous occlusion plethysmography [VOP]) is equivocal. In our systematic evaluation of a series of 21 patients, using clinical examination, Doppler ultrasound and VOP, all patients who developed DVT were identified by all three methods. Overall accuracy, sensitivity and specificity were 100%.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

3890800

Citation

Chu, D A., et al. "Deep Venous Thrombosis: Diagnosis in Spinal Cord Injured Patients." Archives of Physical Medicine and Rehabilitation, vol. 66, no. 6, 1985, pp. 365-8.
Chu DA, Ahn JH, Ragnarsson KT, et al. Deep venous thrombosis: diagnosis in spinal cord injured patients. Arch Phys Med Rehabil. 1985;66(6):365-8.
Chu, D. A., Ahn, J. H., Ragnarsson, K. T., Helt, J., Folcarelli, P., & Ramirez, A. (1985). Deep venous thrombosis: diagnosis in spinal cord injured patients. Archives of Physical Medicine and Rehabilitation, 66(6), 365-8.
Chu DA, et al. Deep Venous Thrombosis: Diagnosis in Spinal Cord Injured Patients. Arch Phys Med Rehabil. 1985;66(6):365-8. PubMed PMID: 3890800.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Deep venous thrombosis: diagnosis in spinal cord injured patients. AU - Chu,D A, AU - Ahn,J H, AU - Ragnarsson,K T, AU - Helt,J, AU - Folcarelli,P, AU - Ramirez,A, PY - 1985/6/1/pubmed PY - 1985/6/1/medline PY - 1985/6/1/entrez SP - 365 EP - 8 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 66 IS - 6 N2 - Because the acute spinal cord injured patient is at high risk for the development of deep venous thrombosis (DVT), accurate diagnosis is critical. Clinical evaluation is unreliable 50% of the time, however, and the two highly accurate diagnostic procedures--venography and 125I-labelled fibrinogen scanning--are invasive and present serious drawbacks. The literature concerning the effectiveness of the two most widely used noninvasive diagnostic alternatives (Doppler ultrasound and venous occlusion plethysmography [VOP]) is equivocal. In our systematic evaluation of a series of 21 patients, using clinical examination, Doppler ultrasound and VOP, all patients who developed DVT were identified by all three methods. Overall accuracy, sensitivity and specificity were 100%. SN - 0003-9993 UR - https://www.unboundmedicine.com/medline/citation/3890800/Deep_venous_thrombosis:_diagnosis_in_spinal_cord_injured_patients_ L2 - https://www.diseaseinfosearch.org/result/7087 DB - PRIME DP - Unbound Medicine ER -