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From: Subject: Spotlight Health Date: Tue, 21 Oct 2003 10:34:38 +0300 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_0149_01C397BE.EDD2A010"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1165 This is a multi-part message in MIME format. ------=_NextPart_000_0149_01C397BE.EDD2A010 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.spotlighthealth.com/dvt/dvt_overview/dvtstatistics.html Spotlight Health

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DVT=20 Overview

Overview Updated = 6/02

	= Anatomy=20 101
	W= hat=20 Is DVT?
	= Who=20 Gets DVT?
	DVT=20 Symptoms
	DVT=20 Complications
	What=20 Causes DVT?
	Travel-Related=20 DVT
	Risk=20 Questionnaire
	Diagnosis
	Tr= eatment
	P= rognosis
	Reducing=20 Risk
	DVT=20 Research
	?= 's=20 for the Doc
	DVT=20 Statistics

	About=20 Our Content
	References
	Glossary

From = the 1996=20 American Heart Association Scientific Statement on = DVT:²=20

Deep vein thrombosis (DVT) occurs in = approximately 2=20 million Americans each year
Each year 600,000 of these patients = develop pulmonary embolism
The combined annual incidence for DVT/pulmonary embolism = is=20 approximately 2.5%-5% of the adult population
Each year as many as 200,000 patients die = of=20 pulmonary embolism^{8,=20
5}=20
More people die each year from pulmonary = embolism=20 than do from breast cancer
Pulmonary embolism is the most frequent = cause of=20 maternal death associated with childbirth
Women are affected by pulmonary embolism = more often=20 than men
DVT recurs in 5-10% of patients the year = after anticoagulant therapy is = discontinued
DVT recurs in 30% of patients eight years = after=20 anticoagulant therapy is = discontinued

From=20 "Pulmonary Embolism" by Dr. Craig Feied, www.emedicine.com:⁶=20

Pulmonary embolism is the third most = common cause of=20 death in the US
Pulmonary embolism is the first or second = most=20 common cause of unexpected death in most age groups
The highest incidence of recognized = pulmonary=20 embolism occurs in hospitalized patients
Approximately 10% of patients in whom = acute=20 pulmonary embolism is diagnosed die within the first 60=20 minutes
Autopsy results show that as many as 60% = of patients=20 who die in the hospital have had a pulmonary embolism, but = the=20 diagnosis has been missed in about 70% of cases
Pulmonary embolism is the most commonly = missed=20 diagnosis responsible for the death of an elderly=20 institutionalized patient
Untreated, approximately 1/3 of patients = who survive=20 an initial pulmonary embolism die of a future embolic = episode
Current techniques allow physicians to = demonstrate a=20 pulmonary embolism in 60-80% of patient with proximal DVT, even though about half = have no=20 clinical symptoms that suggest pulmonary embolism
Prompt and effective anticoagulation reduces the = overall=20 mortality rate for pulmonary embolism from 30% to less = than=20 10%

Statistics from various studies = regarding=20 the use of prophylactic treatment:

A 2000 study found that nearly half (48%) = of=20 hospitalized patients who developed DVT or pulmonary = embolism did=20 NOT receive prophylaxis.⁸⁶=20
A 2000 study found that 1/4 of high-risk = major=20 abdominal surgery patients did not receive = prophylaxis.⁸⁷=20
A 1994 study found that only 1/3 of MICU = patients=20 received ANY prophylaxis.⁸⁸=20
A 1991 study found that only 1/3 of = at-risk=20 hospitalized patients received adequate = prophylaxis.⁸⁹=20

Q= uestions=20 for the Doctor

<= IMG=20 height=3D25 alt=3D"Questions for the Doctor" = hspace=3D10=20 = src=3D"http://www.spotlighthealth.com/images/back_button2.gif"=20 width=3D45 = border=3D0>

=20

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