Despite apparent advantages of home treatment of deep venous thrombosis (DVT) based
upon results of randomized controlled trials, physicians maintain a conservative approach,
and a large proportion of patients with DVT are hospitalized. In the present investigation
we assess whether selection of patients for hospitalization for acute DVT was related
to the site of the DVT or to age. This was a retrospective cohort study based on administrative
data from the Nationwide Emergency Department Sample, 2016. Patients were identified
by International Classification of Diseases-10-Clinical Modification codes. Most,
87,436 of 133,414 (66%), had proximal DVT. A minority of patients with isolated distal
DVT were hospitalized, 10,621 of 37,592 (28%). However, hospitalization was selected
for 47,459 of 87,436 (54%) with proximal DVT; 4,867 of 7,599 (64%) with pelvic vein
DVT; and 611 of 788 (78%) with DVT involving the inferior vena cava. Hospitalization
for patients with distal DVT, proximal DVT, and pelvic vein DVT was age-dependent.
In conclusion, both the site of acute DVT and age were factors affecting the clinical
decision of emergency department physicians to select patients for hospital treatment.
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Article Info
Publication History
Published online: January 30, 2021
Received in revised form:
January 4,
2021
Received:
December 9,
2020
Footnotes
Support: None
Conflict of interest: None of the authors has any conflict of interest
Participation: All authors had access to the data and participated in preparation of the manuscript.
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
