Vol 38, (1/2) 36-40
Venous thromboembolism – management in general practice
Nicola H Chapman BA, MSc, PhD, is Senior Lecturer, St George Clinical School, University of New South Wales.
Timothy Brighton MBBS, FRACP, FRCPA, MD, is a haemotologist and Senior Lecturer, Department of Medicine, Prince of Wales Clinical School, and School of Pathology, Faculty of Medicine, University of New South Wales.
Mark F Harris MBBS, MD, DRACOG, FRACGP, is Professor of General Practice, Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of New South Wales.
Gideon A Caplan MBBS, FRACP, is Director of Post Acute Care Service, Department of Geriatric Medicine, Prince of Wales Hospital, New South Wales.
Jeffrey Braithwaite MBA, PhD, FCHSE, is Foundation Professor and Director, Institute of Health Innovation, Centre for Clinical Governance Research in Health, University of New South Wales.
Beng H Chong MBBS, FRCPA, FRACP, PhD, is Director, Department of Haematology, St George Hospital, New South Wales.
The diagnosis, treatment and management of venous thromboembolism prophylaxis are increasingly becoming the responsibility of the general practitioner. Effective treatments exist, as do guidelines for management of hospitalised patients. However, very little research has been done into the implementation of management strategies in community based patients.
In 2008, an estimated 15 000–23 000 Australians experienced venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE). Retrospective studies report mortality rates following VTE of 5–23%, although in symptomatic patients with adequate anticoagulation, mortality is 1–2%.
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