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Deep vein thrombosis

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Investigations

Impedance plethysmography

Combining with a whole blood agglutination d-dimer test makes IPG better at diagnosing and excluding DVT a

Why?

D-dimer and impedance plethysmography can diagnose and exclude DVT

Patient Target Disorder and
Reference Standard
Diagnostic Test LR+
(95% CI)
Post-test Probability
suspected DVT a
(pre-test probability: 18%)
deep vein thrombosis
(venogram, follow-up)
IPG+, d-dimer+ 61
(19 to 190)
93%
    IPG+, d-dimer- 6.3
(1.4 to 27)
57%
    IPG-, d-dimer+ 2.0
(1.3 to 3.0)
30%
    either test positive 2.3
(1.5 to 3.3)
33%
    IPG-, d-dimer- 0.070
(0.027 to 0.18)
1.5%
 

 

Expiry date: January 2004
Levels of Evidence used in grading these guides

Author   C   Ball
Reviewer   J   Ginsberg
CAT Writers   C   Ball , B   Phillips