© 2000 the Emergency Medicine Journal
Best evidence topic report
Outpatient treatment for patients with uncomplicated above knee deep vein thrombosis
Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL
Report by Beverley Lane, Research Nurse Search checked by Magnus Harrison Clinical Research Fellow
A 25 year old man presents at the emergency department with a two day history of a swollen and painful right leg. A DVT is suspected and an ultrasound confirms the presence of an extensive clot in the femoral vein. Otherwise he is fit and well. There are no beds in the hospital and you wonder whether the evidence exists to confirm that this patient can be treated safely as an outpatient using low molecular weight heparin.
In [patients with an above knee uncomplicated DVT] is [outpatient management with low molecular weight heparin or traditional inpatient management] [feasible and safer]?
Medline 1966–07/00 using the OVID interface. {(Exp venous thrombosis OR deep vein thrombosis.mp OR dvt.mp) OR [(exp thrombosis OR exp venous thrombosis OR thrombosis.mp) AND (exp veins OR Vein$.mp OR vein$.mp)] AND (exp hospitilization OR hospitalisation. mp) OR (inpatient.mp) OR (outpatient.mp OR exp ambulatory care OR ambulatory care.mp) AND (exp
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