title: [Medical, social, economic value of the rational use of non-invasive studies for diagnosing phlebitis. Experience of the Regional Hospital Center of Nimes from 1984 to 1988].
abstract: Continuous wave Doppler, and B-Mode ultrasound allow the diagnosis of deep venous thrombosis with a 96% sensitivity, and a 98% specificity versus venography (1). Therefore, these methods can be extensively used for the detection of deep venous thrombosis, following a new diagnostic algorithm: X ray venography is used only for the assessment of topographic extent of iliac and caval thrombosis, and when non invasive methods give equivocal results. As a result, the number of X ray venographies significantly decreased since 1984 (7) in Nîmes University Hospital. About 75% of patients with a deep venous thrombosis (diagnosed by non invasive methods) were treated without necessity of X ray venography.
authors.affiliation: Unité d'Exploration Vasculaire, Centre Hospitalier Régional, Nîmes.
authors.forename: J P
authors.initials: JP
authors.lastname: Laroche
authors.forename: M
authors.initials: M
authors.lastname: Dauzat
authors.forename: D
authors.initials: D
authors.lastname: Jakob
authors.forename: C
authors.initials: C
authors.lastname: Charras-Arthapignet
authors.forename: M M
authors.initials: MM
authors.lastname: Domingo
authors.forename: P
authors.initials: P
authors.lastname: Sainte-Luce
authors.forename: F M
authors.initials: FM
authors.lastname: Lopez
authors.forename: C
authors.initials: C
authors.lastname: Janbon
mesh_terms: D000465:Algorithms; D005602:France; D006767:Hospitals, District; D006801:Humans; D010689:Phlebitis / Q000175:diagnosis* / Q000191:economics; D010690:Phlebography; D014463:Ultrasonography / Q000191:economics*
vernacular_title: Intérêt médical, social, économique de l'utilisation rationnelle des explorations non vulnérantes pour le diagnostic de phlébite. Expérience du Centre Hospitalier Régional de Nîmes de 1984 à 1988.