Hillegass Ellen, Puthoff Michael, Frese Ethel M, Thigpen Mary, Sobush Dennis C, Auten Beth
E. Hillegass, PT, EdD, CCS, FAACVPR, FAPTA, Department of Physical Therapy, Mercer University, 220 Lackland Ct, Atlanta, GA 30350 (USA).
M. Puthoff, PT, PhD, GCS, Department of Physical Therapy, St Ambrose University, Davenport, Iowa.
Phys Ther. 2016 Feb;96(2):143-66. doi: 10.2522/ptj.20150264. Epub 2015 Oct 29.
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.
美国物理治疗协会（APTA）联合APTA的心血管与肺科以及急症护理部门，制定了本临床实践指南，以协助物理治疗师在治疗有静脉血栓栓塞（VTE）风险或被诊断为下肢深静脉血栓形成（LE DVT）的患者时进行决策。无论在何种实践环境中，物理治疗师都会与有VTE风险或有VTE病史的患者合作。本文档将指导物理治疗师在预防、筛查以及治疗有LE DVT风险或被诊断为LE DVT的患者方面的实践。通过对已发表研究的系统回顾和结构化评估过程，撰写了关键行动声明以指导物理治疗师。对支持每项行动的证据进行了评级，并确定了声明的强度。基于关键行动声明制定了临床实践算法，可协助临床决策。物理治疗师应与医疗团队的其他成员共同努力，实施这些关键行动声明，以降低VTE的发生率，改善LE DVT的诊断和急性管理，并减少LE DVT的长期并发症。
