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We propose an observational study to assess the ability of intensivists to evaluate for deep vein thrombosis using 2 point compression ultrasonography.
Deep vein thrombosis is a common problem in the intensive care unit and diagnosis is often delayed due to limited availability of a formal duplex ultrasound. Physician performed 2 point compression ultrasonography has been shown to have reasonable accuracy when performed in the emergency department and outpatient setting, but has not been studied on patients in the intensive care unit. We propose an observational study to assess the ability of intensivists to evaluate for deep vein thrombosis using 2 point compression ultrasonography.
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| Measure | Description | Time Frame |
|---|---|---|
| The agreement between physician performed ultrasound and formal duplex ultrasonography for detection of proximal deep vein thrombosis. | 48 hours window from detailed US |
| Measure | Description | Time Frame |
|---|---|---|
| Subgroup analysis: location of thrombus (proximal or distal) | 48 hours window from detailed US | |
| Subgroup analysis: number of days in the hospital prior to exam | 48 hours window from detailed US | |
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Inclusion Criteria:
Exclusion Criteria:
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The study population will consist of adult patients admitted to the intensive care units at University hospital who have a duplex ultrasound of the lower extremities for detection of deep vein thrombosis ordered by the primary team.
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| Name | Affiliation | Role |
|---|---|---|
| Casey Stahlheber, MD | University of Missouri-Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of missouri healthcare | Columbia | Missouri | 65212 | United States |
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| ID | Term |
|---|---|
| D020246 | Venous Thrombosis |
| ID | Term |
|---|---|
| D013927 | Thrombosis |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| Subgroup analysis: body mass index (BMI) |
| 48 hours window from detailed US |
| Subgroup analysis: weight gain from admission to the time of the exam | 48 hours window from detailed US |
| Subgroup analysis: training level of examiner | 48 hours window from detailed US |
| Subgroup analysis: difficulty of exam | 48 hours window from detailed US |
| Subgroup analysis: specific examiner | 48 hours window from detailed US |
| Subgroup analysis: presence or absence of calf vein thrombosis | at study conclusion |
| Subgroup analysis: presence or absence of pulmonary embolism | at study conclusion |
| Subgroup analysis: DVT location | at study conclusion |
| Subgroup analysis: calf vein thrombosis | at study conclusion |