• Login
    View Item 
    •   Home
    • UMass Chan Departments, Programs and Centers
    • Population and Quantitative Health Sciences
    • Population and Quantitative Health Sciences Publications
    • View Item
    •   Home
    • UMass Chan Departments, Programs and Centers
    • Population and Quantitative Health Sciences
    • Population and Quantitative Health Sciences Publications
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of eScholarship@UMassChanCommunitiesPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywordsThis CollectionPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywords

    My Account

    LoginRegister

    Help

    AboutSubmission GuidelinesData Deposit PolicySearchingAccessibilityTerms of UseWebsite Migration FAQ

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Isolated calf deep vein thrombosis in the community setting: the Worcester Venous Thromboembolism study

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Spencer, Frederick A.
    Kroll, Aimee
    Lessard, Darleen M.
    Emery, Catherine
    Glushchenko, Alla V.
    Pacifico, Luigi
    Reed, George W.
    Gore, Joel M.
    Goldberg, Robert J.
    UMass Chan Affiliations
    Department of Medicine, Division of Cardiovascular Medicine, Division of Preventive and Behavorial Medicine
    Meyers Primary Care Institute
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2012-04-01
    Keywords
    Venous Thrombosis
    Venous Thromboembolism
    Cardiovascular Diseases
    Epidemiology
    Health Services Research
    
    Metadata
    Show full item record
    Link to Full Text
    http://dx.doi.org/10.1007/s11239-011-0670-x
    Abstract
    The prevalence of isolated calf deep vein thrombosis (DVT) in the community setting is relatively unexplored. Confusion remains with regards to its management and contemporary natural history. The purpose of this investigation was to describe the number of cases of calf DVT in the community, use of early management strategies, and rates of venous thromboembolism (VTE) recurrence and major bleeding. The medical records of residents of the Worcester (MA) metropolitan area with ICD-9 codes consistent with potential VTE during 4 study years (1999/2001/2003/2005) were validated by trained nurses. Patient demographic/clinical characteristics, treatment practices, and outcomes were evaluated. Isolated calf DVT was diagnosed in 166 (11.1%) of 1,495 patients with lower extremity DVT. Patients with calf DVT were less likely to be discharged on anticoagulants or with an IVC filter than patients with proximal DVT (84.1 vs. 92.3%). The rates of VTE recurrence and pulmonary embolism did not differ significantly between patients with calf DVT and proximal DVT at 6 months (11.0 vs. 8.7%, 2.6 vs. 1.8%, respectively). Patients with calf DVT had higher adjusted risk of early (14-day) VTE recurrence/extension (OR 2.34, 95% CI 1.01-5.44). Patients with calf DVT had lower rates of major bleeding at 6 months compared to patients with proximal DVT (5.2 vs. 9.3%, P = 0.04). Rates of recurrent VTE and major bleeding following calf DVT in the community are much higher than in randomized clinical trials of patients with proximal or calf DVT. Further study of management strategies for isolated calf DVT is needed.
    Source
    J Thromb Thrombolysis. 2012 Apr;33(3):211-7. Link to article on publisher's site
    DOI
    10.1007/s11239-011-0670-x
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46563
    PubMed ID
    22261699
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1007/s11239-011-0670-x
    Scopus Count
    Collections
    Population and Quantitative Health Sciences Publications

    entitlement

    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Lamar Soutter Library, UMass Chan Medical School | 55 Lake Avenue North | Worcester, MA 01655 USA
    Quick Guide | escholarship@umassmed.edu
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.