Diagnosis and Treatment of Deep Vein Thrombosis in the Emergency Department: Results of an Italian Nominal Group Technique Study

Clin Appl Thromb Hemost. 2020 Jan-Dec:26:1076029620959720. doi: 10.1177/1076029620959720.

Abstract

Early diagnosis and treatment of deep vein thrombosis (DVT) is a main issue in the Emergency setting. With the aim of assisting clinicians in the diagnosis and the subsequent management of DVT in the Emergency Departments, a Nominal Group Technique (NGT) study was conducted. A panel of 5 Italian experts developed 21 consensus statements based on available evidence and their clinical experience. The agreed consensus statements may assist clinicians in applying the results of clinical studies and clinical experience to routine care settings, providing guidance on all aspects of the risk assessment, prophylaxis, early diagnosis and appropriate treatment of DVT in the EDs.

Keywords: D-dimer; clinical algorithms; clinical decision rules; deep vein thrombosis; emergency department; pre-test probability; venous thromboembolism.

MeSH terms

  • Clinical Decision-Making
  • Disease Management
  • Emergency Service, Hospital
  • Humans
  • Italy / epidemiology
  • Risk Assessment
  • Venous Thrombosis / diagnosis*
  • Venous Thrombosis / epidemiology
  • Venous Thrombosis / prevention & control
  • Venous Thrombosis / therapy*