Calf measurements screening for deep vein thrombosis in acute inpatient cancer rehabilitation

Amy H. Ng, Ekta Gupta, Josephine Bianty, Janet L. Williams, Eduardo Bruera

Research output: Contribution to journalArticle

Abstract

Background/Aims:
Cancer patients have a fourfold increase in the frequency of thrombosis and it is a common cause of death. The purpose of this study was to review the impact of calf measurements during initial admission to an inpatient rehabilitation unit to detect deep vein thrombosis.

Methods:
During inpatient admission to a rehabilitation unit, calf measurement assessments were performed by nursing staff. The nurses were instructed to notify clinicians for an order for a venous Doppler ultrasound if the difference between the two calves was greater than 3 cm.

Findings:
A total of 374 patients were admitted to the inpatient cancer rehabilitation unit over 12 months. Only six patients (2%) did not have their calves measured, with a 98% compliance of measurement. Only two patients (0.5%) had a difference in calf measurement and clinical exam significant to warrant a venous Doppler ultrasound. Both cases were negative for thrombosis. Venous Doppler ultrasounds were performed in 63 (17%) patients before admission to the rehabilitation unit. During the rehabilitation stay, venous Doppler ultrasounds were performed on 44 (12%) patients, with 10 (3%) patients identified with having deep vein thrombosis.

Conclusions:
This study suggests that calf measurements at admission to a rehabilitation unit were unable to detect deep vein thrombosis in this cancer population. Venous Doppler ultrasounds were ordered and identified additional patients who had deep vein thrombosis.
Original languageEnglish
Pages (from-to)1-5
Number of pages5
JournalInternational Journal of Therapy and Rehabilitation
Volume26
Issue number1
Early online date24 Jan 2019
DOIs
Publication statusPublished - 2019

Fingerprint

Venous Thrombosis
Doppler Ultrasonography
Inpatients
Rehabilitation
Neoplasms
Thrombosis
Patient Admission
Nursing Staff
Compliance
Cause of Death
Nurses
Population

Keywords

  • Cancer
  • Cancer rehabilitation
  • Deep vein thrombosis
  • Inpatient rehabilitation
  • Venous Doppler ultrasound
  • Venous thromboembolism

Cite this

Calf measurements screening for deep vein thrombosis in acute inpatient cancer rehabilitation. / Ng, Amy H.; Gupta, Ekta; Bianty, Josephine; Williams, Janet L.; Bruera, Eduardo.

In: International Journal of Therapy and Rehabilitation, Vol. 26, No. 1, 2019, p. 1-5.

Research output: Contribution to journalArticle

Ng, Amy H. ; Gupta, Ekta ; Bianty, Josephine ; Williams, Janet L. ; Bruera, Eduardo. / Calf measurements screening for deep vein thrombosis in acute inpatient cancer rehabilitation. In: International Journal of Therapy and Rehabilitation. 2019 ; Vol. 26, No. 1. pp. 1-5.
@article{0de0fca64cef42ce9c65103dd96a74f0,
title = "Calf measurements screening for deep vein thrombosis in acute inpatient cancer rehabilitation",
abstract = "Background/Aims:Cancer patients have a fourfold increase in the frequency of thrombosis and it is a common cause of death. The purpose of this study was to review the impact of calf measurements during initial admission to an inpatient rehabilitation unit to detect deep vein thrombosis.Methods:During inpatient admission to a rehabilitation unit, calf measurement assessments were performed by nursing staff. The nurses were instructed to notify clinicians for an order for a venous Doppler ultrasound if the difference between the two calves was greater than 3 cm.Findings:A total of 374 patients were admitted to the inpatient cancer rehabilitation unit over 12 months. Only six patients (2{\%}) did not have their calves measured, with a 98{\%} compliance of measurement. Only two patients (0.5{\%}) had a difference in calf measurement and clinical exam significant to warrant a venous Doppler ultrasound. Both cases were negative for thrombosis. Venous Doppler ultrasounds were performed in 63 (17{\%}) patients before admission to the rehabilitation unit. During the rehabilitation stay, venous Doppler ultrasounds were performed on 44 (12{\%}) patients, with 10 (3{\%}) patients identified with having deep vein thrombosis.Conclusions:This study suggests that calf measurements at admission to a rehabilitation unit were unable to detect deep vein thrombosis in this cancer population. Venous Doppler ultrasounds were ordered and identified additional patients who had deep vein thrombosis.",
keywords = "Cancer, Cancer rehabilitation, Deep vein thrombosis, Inpatient rehabilitation, Venous Doppler ultrasound, Venous thromboembolism",
author = "Ng, {Amy H.} and Ekta Gupta and Josephine Bianty and Williams, {Janet L.} and Eduardo Bruera",
year = "2019",
doi = "10.12968/ijtr.2018.0050",
language = "English",
volume = "26",
pages = "1--5",
journal = "International Journal of Therapy and Rehabilitation",
issn = "1741-1645",
publisher = "Mark Allen Publishing Ltd.",
number = "1",

}

TY - JOUR

T1 - Calf measurements screening for deep vein thrombosis in acute inpatient cancer rehabilitation

AU - Ng, Amy H.

AU - Gupta, Ekta

AU - Bianty, Josephine

AU - Williams, Janet L.

AU - Bruera, Eduardo

PY - 2019

Y1 - 2019

N2 - Background/Aims:Cancer patients have a fourfold increase in the frequency of thrombosis and it is a common cause of death. The purpose of this study was to review the impact of calf measurements during initial admission to an inpatient rehabilitation unit to detect deep vein thrombosis.Methods:During inpatient admission to a rehabilitation unit, calf measurement assessments were performed by nursing staff. The nurses were instructed to notify clinicians for an order for a venous Doppler ultrasound if the difference between the two calves was greater than 3 cm.Findings:A total of 374 patients were admitted to the inpatient cancer rehabilitation unit over 12 months. Only six patients (2%) did not have their calves measured, with a 98% compliance of measurement. Only two patients (0.5%) had a difference in calf measurement and clinical exam significant to warrant a venous Doppler ultrasound. Both cases were negative for thrombosis. Venous Doppler ultrasounds were performed in 63 (17%) patients before admission to the rehabilitation unit. During the rehabilitation stay, venous Doppler ultrasounds were performed on 44 (12%) patients, with 10 (3%) patients identified with having deep vein thrombosis.Conclusions:This study suggests that calf measurements at admission to a rehabilitation unit were unable to detect deep vein thrombosis in this cancer population. Venous Doppler ultrasounds were ordered and identified additional patients who had deep vein thrombosis.

AB - Background/Aims:Cancer patients have a fourfold increase in the frequency of thrombosis and it is a common cause of death. The purpose of this study was to review the impact of calf measurements during initial admission to an inpatient rehabilitation unit to detect deep vein thrombosis.Methods:During inpatient admission to a rehabilitation unit, calf measurement assessments were performed by nursing staff. The nurses were instructed to notify clinicians for an order for a venous Doppler ultrasound if the difference between the two calves was greater than 3 cm.Findings:A total of 374 patients were admitted to the inpatient cancer rehabilitation unit over 12 months. Only six patients (2%) did not have their calves measured, with a 98% compliance of measurement. Only two patients (0.5%) had a difference in calf measurement and clinical exam significant to warrant a venous Doppler ultrasound. Both cases were negative for thrombosis. Venous Doppler ultrasounds were performed in 63 (17%) patients before admission to the rehabilitation unit. During the rehabilitation stay, venous Doppler ultrasounds were performed on 44 (12%) patients, with 10 (3%) patients identified with having deep vein thrombosis.Conclusions:This study suggests that calf measurements at admission to a rehabilitation unit were unable to detect deep vein thrombosis in this cancer population. Venous Doppler ultrasounds were ordered and identified additional patients who had deep vein thrombosis.

KW - Cancer

KW - Cancer rehabilitation

KW - Deep vein thrombosis

KW - Inpatient rehabilitation

KW - Venous Doppler ultrasound

KW - Venous thromboembolism

UR - http://www.mendeley.com/research/calf-measurements-screening-deep-vein-thrombosis-acute-inpatient-cancer-rehabilitation

U2 - 10.12968/ijtr.2018.0050

DO - 10.12968/ijtr.2018.0050

M3 - Article

VL - 26

SP - 1

EP - 5

JO - International Journal of Therapy and Rehabilitation

JF - International Journal of Therapy and Rehabilitation

SN - 1741-1645

IS - 1

ER -