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Outpatient management of venous thromboembolism

Publication at Faculty of Medicine in Hradec Králové |
2006

Abstract

Venous ultrasongraphy is favored as the initial investigation for DVT. To diagnose PE, most clinicians rely on diagnostic algorithms that combine clinical assessment, noninvasive lung studies, and, if necessary, venous ultrasonography of the legs and D-dimer testing. The outpatient management of venous thromboembolism could replace the inpatient care for most patients.

Fixed-dose weight-adjusted low-molelcular-weight heparins as efficacious and safe as unfractionated heparin allow home treatment for selected and eligible patients. Programs for outpatient management need after appropriate selection adequate patient education easy access to health-care professionals and daily follow-up during heparin and warfarin treatment.