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Role of Physical Therapists in the Management of Individuals at Risk for or Diagnosed With Venous Thromboembolism: Evidence-Based Clinical Practice Guideline
The American Physical Therapy Association (APTA), in conjunction with the Cardiovascular & Pulmonary and Acute Care sections of APTA, have developed this clinical practice guideline to assist physical therapists in their decision-making process when treating patients at risk for venous thromboem...
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Published in: | Physical therapy 2016-02, Vol.96 (2), p.143-166 |
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creator | Hillegass, Ellen Puthoff, Michael Frese, Ethel M Thigpen, Mary Sobush, Dennis C Auten, Beth |
description | The American Physical Therapy Association (APTA), in conjunction with the Cardiovascular & Pulmonary and Acute Care sections of APTA, have developed this clinical practice guideline to assist physical therapists in their decision-making process when treating patients at risk for venous thromboembolism (VTE) or diagnosed with a lower extremity deep vein thrombosis (LE DVT). No matter the practice setting, physical therapists work with patients who are at risk for or have a history of VTE. This document will guide physical therapist practice in the prevention of, screening for, and treatment of patients at risk for or diagnosed with LE DVT. Through a systematic review of published studies and a structured appraisal process, key action statements were written to guide the physical therapist. The evidence supporting each action was rated, and the strength of statement was determined. Clinical practice algorithms, based on the key action statements, were developed that can assist with clinical decision making. Physical therapists, along with other members of the health care team, should work to implement these key action statements to decrease the incidence of VTE, improve the diagnosis and acute management of LE DVT, and reduce the long-term complications of LE DVT. |
doi_str_mv | 10.2522/ptj.20150264 |
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No matter the practice setting, physical therapists work with patients who are at risk for or have a history of VTE. This document will guide physical therapist practice in the prevention of, screening for, and treatment of patients at risk for or diagnosed with LE DVT. Through a systematic review of published studies and a structured appraisal process, key action statements were written to guide the physical therapist. The evidence supporting each action was rated, and the strength of statement was determined. Clinical practice algorithms, based on the key action statements, were developed that can assist with clinical decision making. Physical therapists, along with other members of the health care team, should work to implement these key action statements to decrease the incidence of VTE, improve the diagnosis and acute management of LE DVT, and reduce the long-term complications of LE DVT.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.2522/ptj.20150264</identifier><identifier>PMID: 26515263</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Acute coronary syndromes ; Anticoagulants ; Blood clots ; Care and treatment ; Clinical outcomes ; Decision Making ; Evidence-Based Practice ; Humans ; Mortality ; Physical therapists ; Physical therapy ; Physical Therapy Modalities ; Practice ; Precision medicine ; Prevention ; Professional Role ; Pulmonary hypertension ; Quality of life ; Thromboembolism ; Thrombosis ; Veins & arteries ; Venous Thromboembolism - prevention & control</subject><ispartof>Physical therapy, 2016-02, Vol.96 (2), p.143-166</ispartof><rights>2016 American Physical Therapy Association.</rights><rights>COPYRIGHT 2016 Oxford University Press</rights><rights>COPYRIGHT 2016 Oxford University Press</rights><rights>Copyright AMERICAN PHYSICAL THERAPY ASSOCIATION Feb 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c635t-2a05d9f0db2ffc0db77a0638cdfbe1748239c6f6b726d45b5a6cb1197b45297b3</citedby><cites>FETCH-LOGICAL-c635t-2a05d9f0db2ffc0db77a0638cdfbe1748239c6f6b726d45b5a6cb1197b45297b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26515263$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hillegass, Ellen</creatorcontrib><creatorcontrib>Puthoff, Michael</creatorcontrib><creatorcontrib>Frese, Ethel M</creatorcontrib><creatorcontrib>Thigpen, Mary</creatorcontrib><creatorcontrib>Sobush, Dennis C</creatorcontrib><creatorcontrib>Auten, Beth</creatorcontrib><creatorcontrib>Guideline Development Group</creatorcontrib><creatorcontrib>for the Guideline Development Group</creatorcontrib><title>Role of Physical Therapists in the Management of Individuals at Risk for or Diagnosed With Venous Thromboembolism: Evidence-Based Clinical Practice Guideline</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>The American Physical Therapy Association (APTA), in conjunction with the Cardiovascular & Pulmonary and Acute Care sections of APTA, have developed this clinical practice guideline to assist physical therapists in their decision-making process when treating patients at risk for venous thromboembolism (VTE) or diagnosed with a lower extremity deep vein thrombosis (LE DVT). No matter the practice setting, physical therapists work with patients who are at risk for or have a history of VTE. This document will guide physical therapist practice in the prevention of, screening for, and treatment of patients at risk for or diagnosed with LE DVT. Through a systematic review of published studies and a structured appraisal process, key action statements were written to guide the physical therapist. The evidence supporting each action was rated, and the strength of statement was determined. Clinical practice algorithms, based on the key action statements, were developed that can assist with clinical decision making. Physical therapists, along with other members of the health care team, should work to implement these key action statements to decrease the incidence of VTE, improve the diagnosis and acute management of LE DVT, and reduce the long-term complications of LE DVT.</description><subject>Acute coronary syndromes</subject><subject>Anticoagulants</subject><subject>Blood clots</subject><subject>Care and treatment</subject><subject>Clinical outcomes</subject><subject>Decision Making</subject><subject>Evidence-Based Practice</subject><subject>Humans</subject><subject>Mortality</subject><subject>Physical therapists</subject><subject>Physical therapy</subject><subject>Physical Therapy Modalities</subject><subject>Practice</subject><subject>Precision medicine</subject><subject>Prevention</subject><subject>Professional Role</subject><subject>Pulmonary hypertension</subject><subject>Quality of life</subject><subject>Thromboembolism</subject><subject>Thrombosis</subject><subject>Veins & arteries</subject><subject>Venous Thromboembolism - 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Academic</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hillegass, Ellen</au><au>Puthoff, Michael</au><au>Frese, Ethel M</au><au>Thigpen, Mary</au><au>Sobush, Dennis C</au><au>Auten, Beth</au><aucorp>Guideline Development Group</aucorp><aucorp>for the Guideline Development Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of Physical Therapists in the Management of Individuals at Risk for or Diagnosed With Venous Thromboembolism: Evidence-Based Clinical Practice Guideline</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>2016-02</date><risdate>2016</risdate><volume>96</volume><issue>2</issue><spage>143</spage><epage>166</epage><pages>143-166</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Instructional Material/Guideline-2</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><notes>ObjectType-Feature-2</notes><abstract>The American Physical Therapy Association (APTA), in conjunction with the Cardiovascular & Pulmonary and Acute Care sections of APTA, have developed this clinical practice guideline to assist physical therapists in their decision-making process when treating patients at risk for venous thromboembolism (VTE) or diagnosed with a lower extremity deep vein thrombosis (LE DVT). No matter the practice setting, physical therapists work with patients who are at risk for or have a history of VTE. This document will guide physical therapist practice in the prevention of, screening for, and treatment of patients at risk for or diagnosed with LE DVT. Through a systematic review of published studies and a structured appraisal process, key action statements were written to guide the physical therapist. The evidence supporting each action was rated, and the strength of statement was determined. Clinical practice algorithms, based on the key action statements, were developed that can assist with clinical decision making. Physical therapists, along with other members of the health care team, should work to implement these key action statements to decrease the incidence of VTE, improve the diagnosis and acute management of LE DVT, and reduce the long-term complications of LE DVT.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>26515263</pmid><doi>10.2522/ptj.20150264</doi><tpages>24</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acute coronary syndromes Anticoagulants Blood clots Care and treatment Clinical outcomes Decision Making Evidence-Based Practice Humans Mortality Physical therapists Physical therapy Physical Therapy Modalities Practice Precision medicine Prevention Professional Role Pulmonary hypertension Quality of life Thromboembolism Thrombosis Veins & arteries Venous Thromboembolism - prevention & control |
title | Role of Physical Therapists in the Management of Individuals at Risk for or Diagnosed With Venous Thromboembolism: Evidence-Based Clinical Practice Guideline |
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