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Most patients have high confidence in self-testing their international normalized ratio

Patients Have High Confidence in Self-Testing INR

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Seventy-three percent of patients report being confident in adjusting their own warfarin level
Use of computerized clinical decision support systems among surgical patients is associated with an increase in the rate of appropriate ordering of venous thromboembolism (VTE) prophylaxis and a decrease in the risk of VTE events

Clinical Decision Support System Use Tied to Fewer VTE Events

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Increase in rate of appropriate ordering for VTE prophylaxis; reduction in risk of VTE events
For patients with suspected pulmonary embolism in the emergency department

Adherence to Clinical Decision Support Ups Odds of Acute PE ID

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Adherence to clinical decision support linked to odds of acute pulmonary embolism finding in ER
Once-daily enoxaparin is associated with fewer major bleeds than enoxaparin twice daily in patients with acute venous thromboembolism

Fewer Major Bleeds With Once- Versus Twice-Daily Enoxaparin

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In propensity analysis, patients on enoxaparin once daily had fewer bleeds, fewer deaths at 15, 30 days
For patients with hemodynamically stable pulmonary embolism

Lower Rate of Adverse Events With Outpatient Treatment of PE

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Lower rate of adverse events for outpatients versus inpatients with hemodynamically stable PE
Perioperative venous thromboembolism prophylaxis is beneficial only for surgical patients with Caprini scores of ≥7

Meta-Analysis: Caprini Score IDs Benefit of VTE Prophylaxis

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Benefit of perioperative VTE chemoprophylaxis limited to surgical patients with Caprini scores ≥7
For pediatric patients undergoing cardiopulmonary bypass

Nadir Platelet Counts Tied to AKI in Pediatric Open-Heart Surgery

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Magnitude of nadir platelet counts tied to severity of AKI in children undergoing cardiopulmonary bypass
D-dimer unit type should be clarified and laboratories interested in implementing age-adjusted D-dimer cut-offs should use only specific D-dimer assays that have been adequately assessed in clinical studies

Age-Adjusted Cut-Offs in D-Dimer Testing for PE Cause Concern

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D-dimer unit type should be clarified; specific assays that have been adequately assessed should be used
A single dose of low-molecular-weight heparin given the previous day can reduce D-dimer and potentially risk non-identification of a deep vein thrombosis

Single-Dose LMWH Can Interfere With Algorithm for DVT Diagnosis

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Single dose given the previous day can reduce D-dimer and risk incorrectly ruling out DVT
For patients with Budd-Chiari syndrome

CTA Can Diagnose Partially Obstructed IVC in Budd-Chiari

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Diagnostic accuracy of 93.9% for partially obstructed inferior vena cava in Budd-Chiari syndrome