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D-dimer testing for DVT is a game-changer in ambulatory care

Point of care tests for patients with suspected deep vein thrombosis have reduced waiting times by up to 75%
D-dimer

Point of care tests for patients with suspected deep vein thrombosis have reduced waiting times by up to 75%

The Great Western Hospital, Swindon, ambulatory care unit (ACU) has introduced point of care testing (POCT) for D-dimer in the assessment of patients presenting with suspected lower limb deep vein thrombosis (DVT).

D-dimer is a degradation product formed by the breakdown of fibrin, and is widely used as a diagnostic aid in low and moderate-risk patients with suspected DVT (Perveen et al 2013).

In 2017, the local community DVT service closed and the ACU took over provision of the service. But staff raised concerns about the increase in workload in an already busy department where the wait for a laboratory D-dimer result could be in excess of two hours.

The team therefore decided that POCT would

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