Publications by authors named "Viola Hach-Wunderle"
Article Synopsis
- - The S2k guideline on venous leg ulcers was developed by a collaborative group led by the German Society of Phlebology and Lymphology, including various other German medical societies.
- - The goal is to unify different medical approaches to create a comprehensive treatment framework for venous leg ulcers, benefiting both patients and healthcare professionals.
- - It includes 70 specific recommendations across key areas like diagnostics, therapy, prevention of recurrences, and everyday challenges, reflecting the latest scientific knowledge for clinical practice.
This is an official interdisciplinary guideline published and coordinated by the German Society for Gynecology and Obstetrics (DGGG), the Austrian Society for Gynecology and Obstetrics (OEGGG) and the Swiss Society for Gynecology and Obstetrics (SGGG). The guideline was developed for use in German-speaking regions and is backed by numerous professional societies and organizations. The aim of this guideline is to provide an evidence- and consensus-based overview of the diagnostic approach and the management of hormonal contraception based on a systematic evaluation of the relevant literature.
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- Traumatic and non-traumatic spinal cord injuries carry a significant risk of thromboembolism in the initial months post-injury, but there are currently no standardized guidelines for prevention.
- A research initiative gathered insights from published studies and expert surveys to formulate recommendations complying with German S3 guidelines for thromboembolism prevention in spinal cord injury patients.
- Asymptomatic patients don’t require specific screening, but those with more severe neurological issues may benefit from low-dose heparins and mechanical methods like compression stockings; ongoing research is needed for more personalized prevention strategies.
The use of sex hormones such as combined oral contraceptives (COC) or hormone replacement therapy (HRT) increases the risk for venous thromboembolism (VTE) considerably, especially in patients with an increased intrinsic risk for thromboembolic complications. Despite public and media attention and increasing scientific evidence, prescription patterns seem to be hard to change. It is well recognized that the patient's baseline risk is the most relevant factor in the absolute risk for developing VTE.
View Article and Find Full Text PDFBackground: Reported post-thrombotic syndrome (PTS) rates may be confounded by including patients with a history of deep venous thrombosis (DVT) before the index event, varicose veins, or chronic venous insufficiency independent of PTS. We were interested in assessing PTS incidence rates of patients without these pre-existing disease conditions.
Methods: A prospective registry with a 3-year follow-up after an initial DVT was assessed.
It is uncertain whether gender influences the clinical presentation of deep-vein thrombosis (DVT) and the discriminative value of the Wells diagnostic pretest probability score. The aim of the study was to determine whether gender impacts the clinical presentation and diagnosis of DVT. The study analysed a cohort of 4,976 outpatients with clinically suspected DVT of the leg prospectively recruited by 326 vascular medicine physicians in the German ambulatory care sector between October and December 2005.
View Article and Find Full Text PDFCurrent guidelines recommend optimised algorithms for diagnosis of suspected deep-vein thrombosis (DVT). There is little data to determine to what extent real-world health care adheres to guidelines, and which outcome in terms of diagnostic efficiency and safety is achieved. This registry involved patients with clinically suspected DVT of the leg recruited in German ambulatory care between October and December 2005.
View Article and Find Full Text PDFThe most important step for the treatment of deep vein thrombosis in the leg and pelvis is the immediate and sufficient anticoagulation by subcutaneous application of low-molecular-weight heparins or fondaparinux. Prevention of a relapse can be achieved by subsequent oral anticoagulation with vitamin K antagonists, whereas treatment duration is based on localisation of the thrombus and underlying risk factors. Immediate mobilisation of the patient is a fundamental step.
View Article and Find Full Text PDFIntroduction: Deep vein thrombosis is associated with a risk of pulmonary embolism and post thrombotic syndrome (PTS).
Methods: Selective literature review with special reference to the American College of Chest Physicians' current guidelines and the German S2 interdisciplinary guideline.
Results And Discussion: The most important therapeutic measure is prompt and adequate anticoagulation with heparin or fondaparinux.
Many risk factors for venous thromboembolism (VTE) in hospitalized medical patients are also present in medical outpatients. VTE prevention represents an important challenge for physicians treating patients at home. The AT-HOME study was a prospective cross-sectional observational study designed to assess awareness of the risk of VTE in immobilized acutely ill medical outpatients among German physicians, many of whom were participating in a national Continuing Medical Education (CME) program designed to raise awareness of VTE.
View Article and Find Full Text PDFObjective: The aim of prescribing strict bed rest for acute deep venous thrombosis is to reduce the risk of pulmonary embolism and pain in the legs, as well as swelling. This study was performed in order to compare outcome of mobilization against 5 days of strict bed rest in patients with acute proximal deep venous thrombosis (DVT).
Methods: 103 in-patients with proximal DVT or patients admitted to the hospital because of proximal DVT were recruited to a randomized study.