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Ultrasound for the diagnosis of deep vein thrombosis in asymptomatic patients after orthopaedic surgery

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Ultrasound for the diagnosis of deep vein thrombosis in asymptomatic patients after orthopaedic surgery

Sübutlu məlumatların xülasələri
10.07.2017 • Sonuncu dəyişiklik 10.07.2017
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Ultrasound imaging appears to have only a moderate sensitivity and positive predictive value in screening for deep vein thrombosis in asymptomatic postoperative patients.

A systematic review including 16 studies (11 of high quality) was abstracted in DARE. Standard contrast venography was the gold standard in all studies. In the high quality studies ultrasonography had a sensitivity of 62% (95 of 153, 95% CI 54% to 70%), a specificity of 97% (CI 96% to 98%) and a positive predictive value of 66%. For studies of lower quality, the sensitivity was 95% and specificity 100%.

Ədəbiyyat

  1. Wells PS, Lensing AW, Davidson BL, Prins MH, Hirsh J. Accuracy of ultrasound for the diagnosis of deep venous thrombosis in asymptomatic patients after orthopedic surgery. A meta-analysis. Ann Intern Med 1995 Jan 1;122(1):47-53.