Deep venous thrombosis: diagnosis in spinal cord injured patients.

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%.

journal_name

Arch Phys Med Rehabil

authors

Chu DA,Ahn JH,Ragnarsson KT,Helt J,Folcarelli P,Ramirez A

subject

Has Abstract

pub_date

1985-06-01 00:00:00

pages

365-8

issue

6

eissn

0003-9993

issn

1532-821X

journal_volume

66

pub_type

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