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August 24, 1994

Management of Patients With Deep Venous Thrombosis

Author Affiliations

Wilhelminen Hospital Vienna, Austria

JAMA. 1994;272(8):593. doi:10.1001/jama.1994.03520080035036

To the Editor.  —Regarding the Questions and Answers item on the timing of bed rest and returning to ambulation in a patient with deep-vein thrombosis (DVT),1,2 I would like to call the author's attention to our previously published study on this subject.3Our patients are not immobilized when a diagnosis of DVT is made. They are admitted to the hospital, receive appropriate anticoagulant therapy and firm compression bandages, and are encouraged to walk.We demonstrated that the frequency of new pulmonary emboli in these patients was not higher compared with those on conventional bed rest. Swelling and pain disappeared after a few days. Strong, medically fitted compression stockings are prescribed after hospital discharge for a period that should be adjusted to the symptoms of the patient (6 months on average).In a randomized prospective study, another group of investigators was able to show that the frequency of postthrombotic

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