handporn.net
Correlation between CUS and DUS for DVT diagnosis in lower extremities in the emergency department | QScience.com
1887
  1. Home
  2. A-Z Publications
  3. Journal of Emergency Medicine, Trauma and Acute Care
  4. Volume 2023, Issue 1
  5. Article
Volume 2023, Issue 1
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Deep venous thrombosis (DVT) is one of the most serious thrombotic events and one of the most common cardiovascular causes associated with death due to pulmonary embolism in the emergency department.

This study aimed to determine the correlation between two-point compression ultrasonography (CUS) and doppler ultrasound (DUS) in the diagnosis of DVT of the lower extremities.

This descriptive–analytical cross-sectional study was conducted on all patients with suspected DVT referred to two emergency departments over 6 months. Initially, all patients underwent CUS using a linear probe on the common femoral and popliteal veins, which was performed by an emergency medicine specialist. Then DUS was performed on all patients by radiologists who were unaware of the results of CUS. The results obtained from the two procedures were recorded in a data collection form by a third-year emergency medicine assistant. The data was analyzed by SPSS 23 software.

Overall, 129 patients were enrolled, the mean age of whom was 56.18 ± 16.33.68 years. There were 68 males (52.7%) and 61 females (47.3%) among the participants. The positivity or negativity of the data retrieved from CUS and DUS was assessed by the McNemar test, and a -value of 1 indicated the homogeneity of both tests. Compared to DUS (as the gold standard), the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of the CUS method were obtained as 97.56%, 95.74%, 97.56%, 95.74%, and 96.9%, respectively. The accuracy of 96.9% of CUS along with Cohen’s kappa of 0.93 indicated a high agreement between the two ultrasound methods.

CUS seems to be a non-invasive, safe, and accessible method in the emergency department that can provide an appropriate alternative to DUS for the diagnosis of DVT in the lower extremities.

© 2023 Torabi, Geranmayeh, Mirzaee, licensee HBKU Press.
Loading

Article metrics loading...

/content/journals/10.5339/jemtac.2023.10
2023-02-06
2024-11-13
Loading full text...

Full text loading...

/deliver/fulltext/jemtac/2023/1/jemtac.2023.10.html?itemId=/content/journals/10.5339/jemtac.2023.10&mimeType=html&fmt=ahah

References

  1. Ierardi AM, Coppola A, Fusco S, Stellato E, Aliberti S, Andrisani MC, et al. Early detection of deep vein thrombosis in patients with coronavirus disease 2019: who to screen and who not to with Doppler ultrasound? J Ultrasound. 2021 Jun; 24:(2):165–73.
     [Google Scholar]
  2. Carli G, Nichele I, Ruggeri M, Barra S, Tosetto A. Deep vein thrombosis (DVT) occurring shortly after the second dose of mRNA SARS-CoV-2 vaccine. Intern Emerg Med. 2021 Apr; 16:(3):803–4.
     [Google Scholar]
  3. Borsi SH, Khanjani N, Nejad HY, Riahi A, Sekhavatpour Z, Raji H, et al. Air pollution and hospital admissions due to deep vein thrombosis (DVT) in Ahvaz, Iran. Heliyon. 2020 Aug 1; 6:(8):e04814.
     [Google Scholar]
  4. Shahzad G, Kumar K, Kumar M, Hassan A, Rafiq N. Diagnostic accuracy of color Doppler ultrasonography among patients having deep vein thrombosis by taking venography as gold standard. J Pharm Res Int. 2020 Aug; 25::1–5.
     [Google Scholar]
  5. Tanabe H, Miyamori D, Shigenobu Y, Ito Y, Kametani T, Kakimoto M, et al. Two patients with Paget-Schroetter syndrome that were successfully diagnosed by Doppler ultrasonography: Case studies with a literature review. Intern Med. 2020 Oct 15; 59:(20):2623–7.
     [Google Scholar]
  6. Shiloh AL, McPhee C, Eisen L, Koenig S, Millington SJ. Better with ultrasound: detection of DVT. Chest. 2020 Sep 1; 158:(3):1122–7.
     [Google Scholar]
  7. Canakci ME, Acar N, Bilgin M, Kuas C. Diagnostic value of point-of-care ultrasound in deep vein thrombosis in the emergency department. J Clin Ultrasound. 2020 Nov; 48:(9):527–31.
     [Google Scholar]
  8. Canty D, Mufti K, Bridgford L, Denault A. Point-of-care ultrasound for deep venous thrombosis of the lower limb. Australas J Ultrasound Med. 2020 May; 23:(2):111–20.
     [Google Scholar]
  9. Needleman L, Cronan JJ, Lilly MP, Merli GJ, Adhikari S, Hertzberg BS, et al. Ultrasound for lower extremity deep venous thrombosis: multidisciplinary recommendations from the Society of Radiologists in Ultrasound Consensus Conference. Circulation. 2018 Apr 3; 137:(14):1505–15.
     [Google Scholar]
  10. Lee JH, Lee SH, Yun SJ. Comparison of 2-point and 3-point point-of-care ultrasound techniques for deep vein thrombosis at the emergency department: a meta-analysis. Medicine. 2019 May; 98:(22):e15791.
     [Google Scholar]
  11. Situ-LaCasse E, Guirguis H, Friedman L, Patanwala AE, Cohen SE, Adhikari S. Can emergency physicians perform extended compression ultrasound for the diagnosis of lower extremity deep vein thrombosis? World J Emerg Med. 2019; 10:(4):205.
     [Google Scholar]
  12. Hannula O, Vanninen R, Rautiainen S, Mattila K, Hyppölä H. Teaching limited compression ultrasound to general practitioners reduces referrals of suspected DVT to a hospital: a retrospective cross-sectional study. Ultrasound J. 2021 Dec; 13:(1):1–7.
     [Google Scholar]
  13. Hannula O, Mustonen A, Rautiainen S, Vanninen R, Hyppölä H. Cost-minimization modeling of venous thromboembolism diagnostics: performing limited compression ultrasound in primary health care reduces costs compared to referring patients to a hospital. Ultrasound J. 2021 Dec; 13:(1):1–9.
     [Google Scholar]
  14. Zuker-Herman R, Dangur IA, Berant R, Sitt EC, Baskin L, Shaya Y, et al. Comparison between two-point and three-point compression ultrasound for the diagnosis of deep vein thrombosis. J Thromb Thrombolysis. 2018 Jan; 45:(1):99–105.
     [Google Scholar]
  15. Dehbozorgi A, Damghani F, Mousavi-Roknabadi RS, Sharifi M, Sajjadi SM, Hosseini-Marvast SR. Accuracy of three-point compression ultrasound for the diagnosis of proximal deep-vein thrombosis in emergency department. J Res Med Sci. 2019; 24::80.
     [Google Scholar]
  16. Mumoli N, Vitale J, Giorgi-Pierfranceschi M, Sabatini S, Tulino R, Cei M, et al. General practitioner–performed compression ultrasonography for diagnosis of deep vein thrombosis of the leg: a multicenter, prospective cohort study. Ann Fam Med. 2017 Nov 1; 15:(6):535–9.
     [Google Scholar]
  17. Canakci ME, Acar N, Bilgin M, Kuas C. Diagnostic value of point-of-care ultrasound in deep vein thrombosis in the emergency department. J Clin Ultrasound. 2020 Nov; 48:(9):527–31.
     [Google Scholar]
  18. Fischer EA, Kinnear B, Sall D, Kelleher M, Sanchez O, Mathews B, et al. Hospitalist-operated compression ultra-sonography: a point-of-care ultrasound study (HOCUS-POCUS). J Gen Intern Med. 2019 Oct; 34:(10):2062–7.
     [Google Scholar]
  19. Crisp JG, Lovato LM, Jang TB. Compression ultrasonography of the lower extremity with portable vascular ultra-sonography can accurately detect deep venous thrombosis in the emergency department. Ann Emerg Med. 2010 Dec 1; 56:(6):601–10.
     [Google Scholar]
  20. Pérez J, Díaz J, Garcia-Martin J, Tabuenca B. Systematic literature reviews in software engineering—Enhancement of the study selection process using Cohen’s kappa statistic. J Syst Softw. 2020 Oct 1; 168::110657.
     [Google Scholar]
  21. Elsenga HE, Collée A, Rosendaal AV. Agreement between emergency physicians and radiologists for the diagnosis of deep venous thrombosis with compression ultrasound: a prospective study. Eur J Emerg Med. 2021 Jan 1; 28:(1):25–8.
     [Google Scholar]
/content/journals/10.5339/jemtac.2023.10
Loading
Correlation between CUS and DUS for DVT diagnosis in lower extremities in the emergency department
Journal of Emergency Medicine, Trauma and Acute Care 2023, 10 (2023); https://doi.org/10.5339/jemtac.2023.10
/content/journals/10.5339/jemtac.2023.10
/content/journals/10.5339/jemtac.2023.10
Loading

Data & Media loading...

Keyword(s): deep venous thrombosis, emergency department, pulmonary embolism and ultrasound

Most Cited Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error