[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].
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.
Laroche
J P
JP
Unité d'Exploration Vasculaire, Centre Hospitalier Régional, Nîmes.
Dauzat
M
M
Jakob
D
D
Charras-Arthapignet
C
C
Domingo
M M
MM
Sainte-Luce
P
P
Lopez
F M
FM
Janbon
C
C
D000465:Algorithms; D005602:France; D006767:Hospitals, District; D006801:Humans; D010689:Phlebitis / Q000175:diagnosis* / Q000191:economics; D010690:Phlebography; D014463:Ultrasonography / Q000191:economics*
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.