Diagnostic Accuracy of Emergency Ultrasonography Compression by Non-Radiologists or Cardiologists for Diagnosis of Deep Vein Thrombosis in Lower Extremity: An Evidence-Based Case Report
Background: Deep vein thrombosis (DVT) is a medical condition with dangerous complications including lung thromboembolism which can cause death. However, the disease is often neglected, leading to delays in diagnosis and treatment. Patients with lower extremity DVT clinical signs and symptoms usual...
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Interna Publishing
2024-01-01
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| Series: | Acta Medica Indonesiana |
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| Online Access: | http://www.actamedindones.org/index.php/ijim/article/view/2399 |
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| author | Ayers Gilberth Ivano Kalaij Mohamad Syahrir Azizi Angga Pramudita |
| author_facet | Ayers Gilberth Ivano Kalaij Mohamad Syahrir Azizi Angga Pramudita |
| author_sort | Ayers Gilberth Ivano Kalaij |
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Background: Deep vein thrombosis (DVT) is a medical condition with dangerous complications including lung thromboembolism which can cause death. However, the disease is often neglected, leading to delays in diagnosis and treatment. Patients with lower extremity DVT clinical signs and symptoms usually cause diagnostic dilemmas, specifically for general practitioners (GP). Various diagnostic strategies have been proposed to diagnose DVT although they still have several limitations. Therefore, emergency compression US by non-radiologists or cardiologists needs to be further considered as a fast and accurate alternative. This study aimed to analyze the potency emergency compression US by non-radiologists or cardiologists to diagnose DVT in the lower extremity. Methods: A comprehensive literature search was conducted through PubMed, Scopus, and Cochrane Library. The articles were screened based on predetermined inclusion and exclusion criteria with the keywords emergency, general practitioners, compression US, and DVT. Critical appraisal was performed using the Oxford CEEBM Critical Appraisal Tools for Diagnostic studies criteria. Results: This study analyzed a total of five cross-sectional studies and one prospective cohort. The emergency compression US performed by general practitioners and emergency physicians had a sensitivity of 86-93% and specificity of 90-97.1%. This analysis produced reliable results for diagnosing DVT in bedside settings compared to compression or doppler US performed by experts. Conclusion: Emergency compression US performed by general practitioners and emergency physicians had great potential to be a fast and accurate method for diagnosing and excluding DVT in lower extremities. However, standardized training is necessary to produce the highest diagnostic accuracy.
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| format | Article |
| id | doaj-art-f924ddcfd21844d9a3aa1ac7ea0a44a5 |
| institution | Matheson Library |
| issn | 0125-9326 2338-2732 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj-art-f924ddcfd21844d9a3aa1ac7ea0a44a52025-07-14T07:00:33ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322024-01-01554Diagnostic Accuracy of Emergency Ultrasonography Compression by Non-Radiologists or Cardiologists for Diagnosis of Deep Vein Thrombosis in Lower Extremity: An Evidence-Based Case ReportAyers Gilberth Ivano Kalaij0Mohamad Syahrir Azizi1Angga Pramudita2Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia Background: Deep vein thrombosis (DVT) is a medical condition with dangerous complications including lung thromboembolism which can cause death. However, the disease is often neglected, leading to delays in diagnosis and treatment. Patients with lower extremity DVT clinical signs and symptoms usually cause diagnostic dilemmas, specifically for general practitioners (GP). Various diagnostic strategies have been proposed to diagnose DVT although they still have several limitations. Therefore, emergency compression US by non-radiologists or cardiologists needs to be further considered as a fast and accurate alternative. This study aimed to analyze the potency emergency compression US by non-radiologists or cardiologists to diagnose DVT in the lower extremity. Methods: A comprehensive literature search was conducted through PubMed, Scopus, and Cochrane Library. The articles were screened based on predetermined inclusion and exclusion criteria with the keywords emergency, general practitioners, compression US, and DVT. Critical appraisal was performed using the Oxford CEEBM Critical Appraisal Tools for Diagnostic studies criteria. Results: This study analyzed a total of five cross-sectional studies and one prospective cohort. The emergency compression US performed by general practitioners and emergency physicians had a sensitivity of 86-93% and specificity of 90-97.1%. This analysis produced reliable results for diagnosing DVT in bedside settings compared to compression or doppler US performed by experts. Conclusion: Emergency compression US performed by general practitioners and emergency physicians had great potential to be a fast and accurate method for diagnosing and excluding DVT in lower extremities. However, standardized training is necessary to produce the highest diagnostic accuracy. http://www.actamedindones.org/index.php/ijim/article/view/2399Compression USemergencydiagnosisdeep vein thrombosisLower extremity |
| spellingShingle | Ayers Gilberth Ivano Kalaij Mohamad Syahrir Azizi Angga Pramudita Diagnostic Accuracy of Emergency Ultrasonography Compression by Non-Radiologists or Cardiologists for Diagnosis of Deep Vein Thrombosis in Lower Extremity: An Evidence-Based Case Report Acta Medica Indonesiana Compression US emergency diagnosis deep vein thrombosis Lower extremity |
| title | Diagnostic Accuracy of Emergency Ultrasonography Compression by Non-Radiologists or Cardiologists for Diagnosis of Deep Vein Thrombosis in Lower Extremity: An Evidence-Based Case Report |
| title_full | Diagnostic Accuracy of Emergency Ultrasonography Compression by Non-Radiologists or Cardiologists for Diagnosis of Deep Vein Thrombosis in Lower Extremity: An Evidence-Based Case Report |
| title_fullStr | Diagnostic Accuracy of Emergency Ultrasonography Compression by Non-Radiologists or Cardiologists for Diagnosis of Deep Vein Thrombosis in Lower Extremity: An Evidence-Based Case Report |
| title_full_unstemmed | Diagnostic Accuracy of Emergency Ultrasonography Compression by Non-Radiologists or Cardiologists for Diagnosis of Deep Vein Thrombosis in Lower Extremity: An Evidence-Based Case Report |
| title_short | Diagnostic Accuracy of Emergency Ultrasonography Compression by Non-Radiologists or Cardiologists for Diagnosis of Deep Vein Thrombosis in Lower Extremity: An Evidence-Based Case Report |
| title_sort | diagnostic accuracy of emergency ultrasonography compression by non radiologists or cardiologists for diagnosis of deep vein thrombosis in lower extremity an evidence based case report |
| topic | Compression US emergency diagnosis deep vein thrombosis Lower extremity |
| url | http://www.actamedindones.org/index.php/ijim/article/view/2399 |
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