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Thromb Haemost 1996; 75(02): 242-245
DOI: 10.1055/s-0038-1650252
Original Article
Schattauer GmbH Stuttgart

Is Colour Doppler Ultrasound a Sensitive Screening Method in Diagnosing Deep Vein Thrombosis after Hip Surgery ?

Marie Magnusson
1   The Department of Clinical Physiology, Östra Hospital, Göteborg, Sweden
,
Bengt I Eriksson
2   The Department of Orthopaedics, Östra Hospital, Göteborg, Sweden
,
Peter Kãlebo
3   The Department of Radiology, Östra Hospital, Göteborg, Sweden
,
Ramon Sivertsson
1   The Department of Clinical Physiology, Östra Hospital, Göteborg, Sweden
› Author Affiliations
Further Information

Publication History

Received: 24 May 1995

Accepted after resubmission20 October 1995

Publication Date:
26 July 2018 (online)

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Summary

Patients undergoing orthopedic surgery are at high risk of developing deep vein thrombosis. One hundred and thirty-eight consecutive patients undergoing total hip replacement or hip fracture surgery were included in this study. They were surveilled with colour Doppler ultrasound (CDU) and bilateral ascending contrast phlebography. The prevalence of proximal and distal DVT in this study was 5.8% and 20.3% respectively.

CDU has a satisfactory sensitivity in patients with symptomatic deep vein thrombosis, especially in the proximal region. These results could not be confirmed in the present study of asymptomatic patients. The sensitivity was 62.5% (95% confidence interval: C.I. 24-91%) and the specificity 99.6% (C.I. 98-100%) for proximal DVT; 53.6% (C.I. 34-73%) and 98% (C.I. 96-99%) respectively for distal thrombi. The overall sensitivity was 58.1% (C.I. 39-75%) and the specificity 98% (C.I. 96-99%). The positive predictive value was 83.3% (C.I. 36-99%) and 75% (C.I. 51-91%) for proximal and distal DVT respectively. The negative predictive value was 98.9% (C.I. 98-100%) and 94.9% (C.I. 92-98%) for proximal and distal DVT respectively. The results of this study showed that even with a highly specialised and experienced investigator the sensitivity of CDU was too low to make it suitable for screening purposes in a high risk surgical population.

 

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