title: Home treatment of deep venous thrombosis in the era of new oral anticoagulants.
abstract: This is a retrospective cohort study of adults with a primary diagnosis of deep venous thrombosis (DVT) unaccompanied by pulmonary embolism (PE), seen in 4 emergency departments in 2013 and part of 2014. The purpose was to assess the prevalence of home treatment of DVT in the present era of new oral anticoagulants. Among 96 patients with DVT and no PE, 85 (88.5%) were hospitalized and 11 (11.5%) were discharged to home. Most of the patients discharged to home received low-molecular-weight heparin, 9 (81.8%) of 11. None were prescribed new oral anticoagulants. Early discharge in ≤2 days occurred 28 (32.9%) of 85 patients. Most (64.3%) received enoxaparin and/or warfarin at early discharge. Rivaroxaban was prescribed in 7 (25.0%) of those discharged in ≤2 days. We conclude that in some emergency departments, patients with DVT are uncommonly discharged to home even though new oral anticoagulants are available.
authors.affiliation: Department of Osteopathic Medical Specialties, College of Osteopathic Medicine, Michigan State University, East Lansing, MI, USA steinp@msu.edu.
authors.forename: Paul D
authors.initials: PD
authors.lastname: Stein
authors.affiliation: Department of Osteopathic Medical Specialties, College of Osteopathic Medicine, Michigan State University, East Lansing, MI, USA.
authors.forename: Fadi
authors.initials: F
authors.lastname: Matta
authors.affiliation: Department of Medical Education, Summa Akron City Hospital, Akron, OH, USA Department of Emergency Medicine, McLaren Oakland Hospital, Pontiac, MI, USA.
authors.forename: Patrick G
authors.initials: PG
authors.lastname: Hughes
authors.affiliation: Department of Emergency Medicine, McLaren Oakland Hospital, Pontiac, MI, USA.
authors.forename: Martina
authors.initials: M
authors.lastname: Ghiardi
authors.affiliation: Department of Emergency Medicine, St. Mary Mercy Hospital, Livonia, MI, USA.
authors.forename: John H
authors.initials: JH
authors.lastname: Marsh
authors.affiliation: Department of Medical Education, Summa Akron City Hospital, Akron, OH, USA.
authors.forename: Juewon
authors.initials: J
authors.lastname: Khwarg
authors.affiliation: Department of Emergency Medicine, St. Mary Mercy Hospital, Livonia, MI, USA.
authors.forename: Michael S
authors.initials: MS
authors.lastname: Brandon
authors.affiliation: Department of Emergency Medicine, St. Mary Mercy Hospital, Livonia, MI, USA.
authors.forename: Hope A N
authors.initials: HA
authors.lastname: Fowkes
authors.affiliation: Department of Emergency Medicine, University of Toledo Medical Center, Toledo, OH, USA.
authors.forename: Viviane
authors.initials: V
authors.lastname: Kazan
authors.affiliation: Department of Emergency Medicine, University of Toledo Medical Center, Toledo, OH, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Wiepking
authors.affiliation: Department of Emergency Medicine, St. Mary Mercy Hospital, Livonia, MI, USA.
authors.forename: Daniel C
authors.initials: DC
authors.lastname: Keyes
authors.affiliation: Department of Emergency Medicine, University of Toledo Medical Center, Toledo, OH, USA.
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Kakish
authors.affiliation: Department of Osteopathic Medical Specialties, College of Osteopathic Medicine, Michigan State University, East Lansing, MI, USA.
authors.forename: Mary J
authors.initials: MJ
authors.lastname: Hughes
mesh_terms: D000284:Administration, Oral; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000008:administration & dosage*; D017984:Enoxaparin / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D000069552:Rivaroxaban / Q000008:administration & dosage*; D020246:Venous Thrombosis / Q000188:drug therapy*; D014859:Warfarin / Q000008:administration & dosage*
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin; D014859:Warfarin; D000069552:Rivaroxaban
keywords: deep venous thrombosis; home treatment; oral anticoagulants; venous thromboembolism