Journal article
Outpatient Treatment of Deep Vein Thrombosis in the United States: The Reasons for Geographic and Racial Differences in Stroke Study
Journal of hospital medicine, v 12(10), pp 826-830
Oct 2017
PMID: 28991948
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BACKGROUND
Outpatient versus inpatient treatment of deep vein thrombosis (DVT) is believed to result in equivalent outcomes with decreased costs. Little is known about the adoption of outpatient DVT treatment in the United States.
OBJECTIVE
To describe the uptake of outpatient DVT treatment in the United States and understand how comorbidities and socioeconomic conditions impact the decision to treat as an outpatient.
DESIGN AND SETTING
The Reasons for Geographic and Racial Differences in Stroke cohort study recruited 30,329 participants between 2003 and 2007. DVT events were ascertained through 2011.
MEASUREMENTS
Multivariable logistic regression was used to determine the correlates of outpatient treatment of DVT accounting for age, sex, race, education, income, urban or rural residence, and region of residence.
RESULTS
Of 379 venous thromboembolism events, 141 participants had a DVT without diagnosed pulmonary embolism and that did not occur during hospitalization. Overall, 28% (39 of 141) of participants with DVT were treated as outpatients. In a multivariable model, the odds ratio for outpatient versus inpatient DVT treatment was 4.16 (95% confidence interval [CI], 1.25‐13.79) for urban versus rural dwellers, 3.29 (95% CI, 1.30‐8.30) for white versus black patients, 2.41 (95% CI, 1.06‐5.47) for women versus men, and 1.90 (95% CI, 1.19‐3.02) for every 10 years younger in age. Living outside the southeastern United States and having higher education and income were not statistically significantly associated with outpatient treatment.
CONCLUSIONS
Despite known safety and efficacy, only 28% of participants with DVT received outpatient treatment. This study highlights populations in which efforts could be made to reduce hospital admissions.
Metrics
Details
- Title
- Outpatient Treatment of Deep Vein Thrombosis in the United States: The Reasons for Geographic and Racial Differences in Stroke Study
- Creators
- Daniel Douce - University of VermontLeslie A. McClure - Drexel UniversityPamela Lutsey - University of MinnesotaMary Cushman - University of VermontNeil A. Zakai - University of Vermont
- Publication Details
- Journal of hospital medicine, v 12(10), pp 826-830
- Number of pages
- 5
- Grant note
- Department of Health and Human Services National Institutes of Health National Institute of Neurological Disorders and Stroke
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000413480700005
- Scopus ID
- 2-s2.0-85037860030
- Other Identifier
- 991019168779304721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Medicine, General & Internal