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首頁> 美國衛(wèi)生研究院文獻>Clinical and Applied Thrombosis/Hemostasis >Systematic Review of Real-World Studies Evaluating CharacteristicsAssociated With or Programs Designed to Facilitate Outpatient Management of DeepVein Thrombosis
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Systematic Review of Real-World Studies Evaluating CharacteristicsAssociated With or Programs Designed to Facilitate Outpatient Management of DeepVein Thrombosis

機譯：系統(tǒng)評價真實世界研究的特征旨在促進深層門診管理的相關(guān)計劃靜脈血栓形成

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Select patients with acute deep vein thrombosis (DVT) can be managed as outpatients. We sought to conduct a systematic review of real-world studies describing either (1) the clinical characteristics associated with outpatient DVT treatment in all-comers or (2) emergency department (ED) programs designed to facilitate outpatient DVT treatment. MEDLINE and SCOPUS were searched (January 1, 2012, to May 1, 2018) to identify citations meeting the aforementioned criteria. Twenty-one real-world studies were included. The proportion of all-comer patients with DVT managed as outpatients was ≤50% in 11 of 15 studies. With the exception of younger age, no characteristics were consistently associated with outpatient treatment across the 13 studies reporting these characteristics. We identified 8 studies describing ED programs aimed at facilitating DVT outpatient treatment, all of which provided education and included measures to encourage early outpatient follow-up after ED discharge. In conclusion, the proportion of patients with DVT managed as outpatients across real-world studies was low. Several ED programs aimed at facilitating this treatment have been described. It is possible that programs similar to these will increase the proportion of patients with DVT that can besafely managed as outpatients.
機譯：選擇的急性深靜脈血栓形成（DVT）患者可以作為門診病人進行管理。我們試圖對現(xiàn)實世界的研究進行系統(tǒng)的回顧，描述要么（1）所有患者中與門診DVT治療相關(guān)的臨床特征，要么（2）旨在促進門診DVT治療的急診科（ED）計劃。檢索MEDLINE和SCOPUS（2012年1月1日至2018年5月1日），以確定符合上述標(biāo)準(zhǔn)的引用。包括二十一現(xiàn)實世界的研究。在15項研究中的11項中，門診治療的DVT全科患者的比例≤50％。除年齡較小外，在13項報告有這些特征的研究中，沒有任何特征與門診治療一致。我們確定了8項描述ED計劃的研究，這些計劃旨在促進DVT門診治療，所有這些研究均提供了教育并包括了鼓勵ED出院后早期門診隨訪的措施?？傊?，在現(xiàn)實世界的研究中，門診治療的DVT患者比例很低。已經(jīng)描述了幾種旨在促進這種治療的ED程序。與這些程序類似的程序可能會增加DVT患者的比例，作為門診病人進行安全管理。

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