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VTE survey

    Demographics


    Consultant doctorSpeciality trainee (ST3+)Speciality doctor (CMT / IMT)Foundation doctorNurseGPGP traineeOther (enter below)
    Other job role:


    EnglandScotlandWalesNorthern IrelandOther (enter below)
    Other place of work:


    Haematology (haemostasis and thrombosis)HaematologyAcute medicineRespiratory medicineCardiologyNurse led clinic (DVT / anticoagulation)Vascular surgeryGeneral medicineGPOther (enter below)
    Other speciality:


    Tertiary or quaternary hospitalDistrict general hospitalGP surgeryOther (enter below)
    Other organisation:

    Questionnaire

    For each of the following questions please give your answer having considered whether the risk of recurrent venous thromboembolism would be high or low for each clinical Question after the initial anticoagulant treatment period has ended.

    Question 1

    A 45 year old man presents with left leg swelling and tenderness, having returned from a European business trip where he had 6 flights of 2 hours in the preceding 2 weeks. Ultrasound examination confirms a left femoral vein deep vein thrombosis.

    After 3-6 months of anticoagulation I would:

    Consider long-term anticoagulationStop anticoagulation
    Please add any comments on why you chose your answer:

    Question 2

    28 year old female school teacher presents with pleuritic chest pain and breathlessness. She has been taking the combined oral contraceptive pill for the last 10 years. Computer tomography pulmonary angiogram (CTPA) shows multiple bilateral segmental pulmonary emboli.

    After 3-6 months of anticoagulation I would:

    Consider long-term anticoagulationStop anticoagulation
    Please add any comments on why you chose your answer:

    Question 3

    39 year old stay-at-home mum sustains a right lateral ankle sprain while playing netball and has difficulty weight bearing for three days. Six weeks later she presents with right calf swelling and pain and ultrasound examination confirms a right popliteal vein deep vein thrombosis.

    After 3-6 months of anticoagulation I would:

    Consider long-term anticoagulationStop anticoagulation
    Please add any comments on why you chose your answer:

    Question 4

    A 63 year old man has 3 days of rest at home, and calls in sick from his work as a postman, in a reclining chair for a flu like illness and has several paracetamol for a mild fever. 12 days later he has a left proximal deep vein thrombosis diagnosed after a 2 day history of leg swelling.

    After 3-6 months of anticoagulation I would:

    Consider long-term anticoagulationStop anticoagulation
    Please add any comments on why you chose your answer:

    Question 5

    A 70 year old woman undergoes a left total hip replacement and is discharged on day 4 post-operatively but unfortunately no thromboprophylaxis is prescribed for after discharge. She presents three weeks later presents with left leg swelling, pain and erythema. Ultrasound examination confirms a left femoral vein deep vein thrombosis.

    After 3-6 months of anticoagulation I would:

    Consider long-term anticoagulationStop anticoagulation
    Please add any comments on why you chose your answer:

    Question 6

    A 47 year old accountant presents to the emergency department with a 2 day history of pleuritic chest pain. He has no past medical history or family history of note and takes no regular medications. He has not experienced any injury, surgery or period of immobility in the last six months. Computer tomography pulmonary angiogram (CTPA) shows bilateral pulmonary embolism and he requires thrombolysis for hypotension.

    After 3-6 months of anticoagulation I would:

    Consider long-term anticoagulationStop anticoagulation
    Please add any comments on why you chose your answer:

    Question 7

    The site of an initial unprovoked venous thromboembolism (either pulmonary embolism or proximal deep vein thrombosis; distal deep vein thrombosis excluded as generally does not warrant long-term treatment) is an important factor in determining the need for long-term anticoagulation.

    Strongly agreeAgreeNeutralDisagreeStrongly disagree
    Please add any comments on why you chose your answer:

    Question 8

    The severity of initial presentation of unprovoked venous thromboembolism (e.g. need for thrombolysis) is an important factor in determining the need for long-term anticoagulation.

    Strongly agreeAgreeNeutralDisagreeStrongly disagree
    Please add any comments on why you chose your answer: