| Domaine : |
 |
Sciences du Vivant/Médecine humaine et pathologie
|
|
PMID (identifiant
de la référence Pubmed) : |
|
 (11521998) |
|
| Titre : |
|
Diagnostic accuracy of compression ultrasonography for the detection of asymptomatic deep venous thrombosis in medical patients--the TADEUS project. |
|
| Auteur(s) : |
|
Luc Bressollette1, Michel Nonent2, 3, Emmanuel Oger2, Jean-François Garcia4, Pascal Larroche3, Bruno Guias1, Pierre-Yves Scarabin5, Dominique Mottier2 |
|
| Laboratoire : |
|
|
|
| Résumé : |
|
We assessed the accuracy of venous compression ultrasonography (CUS) for the detection of asymptomatic deep vein thrombosis in 122 consecutive patients, with a mean age of 69 years, who were hospitalised in an internal medicine unit. All included patients had CUS within 48 h of admission. Twelve out of 17 patients with a positive CUS underwent phlebography, as the others withdrew their consent, whereas the remaining 105 patients with a negative serial CUS testing were clinically followed-up at 3 months. We found that CUS had a sensitivity and a specificity of respectively 1 (95% CI, 0.73 to 1) and 1 (95% CI, 0.96 to 1) for the detection of asymptomatic deep vein thrombosis. Kappa-coefficients for intra-observer and inter-observer agreements were respectively 0.88 and 0.56. We concluded that venous compression ultrasonography, performed as described, fulfils requirements of a screening test that could be available for prophylactic clinical trials or epidemiological researches. |
|
Langue du texte
intégral : |
|
Anglais |
|
|
| Type de publication : |
|
Articles dans des revues avec comité de lecture |
|
| Journal : |
|
| Thrombosis and Haemostasis (Thromb Haemost) |
| Publisher |
Schattauer |
| ISSN |
0340-6245 |
|
|
| Audience : |
|
internationale |
|
| Date de publication : |
|
08/2001 |
|
| Volume : |
|
86 |
|
| Numéro : |
|
2 |
|
| Page, identifiant, ... : |
|
529-33 |
|
|
| Descripteur(s) MeSH : |
|
Aged – Aged – 80 and over – Female – Humans – Male – Middle Aged – Observer Variation – Phlebography – Prospective Studies – Sensitivity and Specificity – Ultrasonography – Venous Thrombosis |
|
|
