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In an attempt to reduce the number of people dying from deep
vein thrombosis and consequently, pulmonary embolism, Surgeon General Doctor
Steven Galson along with the Agency for Healthcare Research and Quality announced
on Monday the “Call to Action” campaign aimed at informing ordinary people on
what causes DVT and how they can prevent it. The US Department of Health and
Human Services supports the campaign under the name “The Surgeon General’s Call
to Action to Prevent Deep Vein Thrombosis and Pulmonary Embolism.”
DVT is a blood clot that forms in the body’s veins. Blood
clots occur when blood thickens and clumps together. Most deep vein blood clots
occur in the lower leg or thigh. They also can occur in other parts of the
body. What makes a blood clot dangerous is that it can travel through the
bloodstream to different organs of the body. The loose clot is called an
embolus. When it travels to the lungs for example, it blocks blood flow causing
pulmonary embolism. It can also cause heart attack or stroke.
According to the Society of International Radiology, about
600,000 new patients are diagnosed as having DVT every year and at least
100,000 of them die.
The bad part is that DVT is hard to diagnose. That is what
makes it “a silent killer,” as Dr. Galson expressed himself at a meeting of the
Venous Disease Coalition on Monday. And yet, once diagnosed, this disease can
be treatable.
“The number of deaths attributable to blood clots is like
having an entire city like Cambridge (Mass.) wiped out every
year, over and over again. I don't think most people understand that this is a
serious medical problem or what can be done to prevent it,” he said.
As part of the campaign, Dr. Galson wants to inform people
about symptoms of DVT and about people most at risk of developing it. Symptoms
of DVT can include swelling, calf or other leg pain, a warm spot on the leg, red
or discolored skin on the leg, shortness of breath or pain when breathing
deeply, a strange cough or fast heartbeat.
People most at risk of developing DVT include those who have
had recent surgery, suffered a broken bone or a fall, or have been involved in
a car crash. Also, pregnant women and women taking birth control pills or
menopausal hormones are also a greatest risk of DVT. Persons who are immobile
for long periods do not make any exception either. The risk increases with age (especially
after the age of 65). Obesity, being a smoker or having a family history of DVT
are also putting people at high risk of developing the disease.
All these information can be found in a 12-page booklet
designed to assist consumers in identifying their risk for DVT and how they can
act about it. Moreover, The Agency for Healthcare Research is issuing a 60-page
DVT treatment-and-prevention guide for doctors and hospitals. The guide is
entitled “Preventing Hospital-Acquired Venous Thromboembolism: A Guide for
Effective Quality Improvement.”
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