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Are BLEV Dopplers ordered appropriately?, What is "appropriate"?…
Are BLEV Dopplers ordered appropriately?
Research to support background or concern?
Vasc Textbook Ch. 20
Articles
(Stegher etal, 2017)
225 LEV exams
mean age 64 y/o
Majority was inappropriate use
(Mousa etal, 2015)
360 patients, median age 59
Do d-dimer levels indidcate appropriate use?
LEV ED patients over 30 days
86% of patients with elevated d-dimer levels = Neg!
Data
results (saved in excel doc)
interpretation
majority appropriate? still collecting data
Conclusion
answer to the thesis
future implications?
What is "appropriate"?
CMS
Guidelines
Yes, appropriate dx
Inappropriate dx
becomes appropriate when modified with more information
Completely inappropriate