Diagnostic accuracy of compression ultrasonography for the detection of asymptomatic deep venous thrombosis in medical patients--the TADEUS project.

Luc Bressollette 1 Michel Nonent 2, 3 Emmanuel Oger 2 Jean-François Garcia 4 Pascal Larroche 3 Bruno Guias 1 Pierre-Yves Scarabin 5 Dominique Mottier 2
1 DMIP - Brest - Département de Médecine Interne et Pneumologie [Brest]
2 GETBO - Groupe d'Etude de la Thrombose de Bretagne Occidentale
3 DR - Brest - Département de radiologie [Brest]
4 HIA - Radio - Service de Radiologie [Brest]
5 CESP - Centre de recherche en épidémiologie et santé des populations
Abstract : 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.
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Article dans une revue
Thrombosis and Haemostasis, Schattauer, 2001, 86 (2), pp.529-33
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http://hal.univ-brest.fr/hal-00722340
Contributeur : Ghislaine Calvez <>
Soumis le : mercredi 1 août 2012 - 13:07:48
Dernière modification le : mercredi 10 janvier 2018 - 14:42:02

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  • HAL Id : hal-00722340, version 1
  • PUBMED : 11521998

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Luc Bressollette, Michel Nonent, Emmanuel Oger, Jean-François Garcia, Pascal Larroche, et al.. Diagnostic accuracy of compression ultrasonography for the detection of asymptomatic deep venous thrombosis in medical patients--the TADEUS project.. Thrombosis and Haemostasis, Schattauer, 2001, 86 (2), pp.529-33. 〈hal-00722340〉

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