科研之友
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摘要
aims: to compare the home-care management of deep vein thromboses (dvt) by a home care unit (hcu) respect to conventional inpatient treatment. methods: twenty-one patients with a doppler-ecography diagnosis of dvt were managed by the hcu during 2002. in 7 out 13 a concomitant diagnosis of pulmonary embolism (pe) was made by lung scan. median age was 81 years, 52% were women and all, except one case, showed severe medical concomitant conditions. all patients received low-weight molecular heparin, followed by oral anticoagulants in 3 patients. no patients died and only one was hopitalized briefly due to a poor thrombosis-related pain control. costs of this patient were added to those of hcu. a comparison was made between ambulatory and hospitalary costs for ep and dvt. pharmacological treatment costs were calculated for a 10-days period. results: the length of inhospital stay was 1 day for hcu vs. 8 days (dvt) and 13 days (ep). there was a estimated cost-saving of 1680 ? per patient. conclusions: the management of dvt in patients with serious conditions, can be accomplished safely and in a cost-saving manner by a home care unit.
