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. Author manuscript; available in PMC: 2018 Dec 1.
Published in final edited form as: Med Care. 2017 Dec;55(12):e137–e143. doi: 10.1097/MLR.0000000000000524

Table 5.

Encounters with a VTE Diagnosis Code but Not Considered Valid Acute VTE Events after Chart Review (n=2,606)

Reason why events were not considered valid Hospital/Emergency Department (N=1229)
Pulmonary embolism
N=338
Lower extremity DVT
N=379
Upper extremity DVT
N=88
Other venous thrombosis
N=424
Prior history of VTE but not acute 14.2% (48/338) 15.6% (59/379) 5.7% (5/88) 9.4% (40/424)
Alternative non-VTE diagnosis 43.8% (148/338) 38.0% (144/379) 39.8% (35/88) 46.5% (197/424)
Superficial venous thrombophlebitis 2.1% (7/338) 13.5% (51/379) 25.0% (22/88) 14.9% (63/424)
Initial concern for VTE but subsequently excluded 19.2% (65/338) 15.3% (58/379) 4.5% (4/88) 10.6% (45/424)
VTE suspected, but not confirmed 3.6% (12/338) 0% (0/379) 0% (0/88) 0.5% (2/424)
Insufficient documentation available in chart 17.2% (58/338) 17.7% (67/379) 25.0% (22/88) 18.2% (77/424)
Reason why events were not considered valid Outpatient Encounters (N=1377)
Pulmonary embolism
N=213
Lower extremity DVT
N=303
Upper extremity DVT
N=49
Other venous thrombosis
N=812
Prior history of VTE but not acute 68.1% (145/213) 35.0% (106/303) 2.0% (1/49) 15.8% (128/812)
Alternative non-VTE diagnosis 18.8% (40/213) 24.8% (75/303) 22.4% (11/49) 22.3% (181/812)
Superficial venous thrombophlebitis 2.3% (5/213) 12.9% (39/303) 51.0% (25/49) 44.7% (363/812)
Initial concern for VTE but subsequently excluded 4.7% (10/213) 16.5% (50/303) 4.1% (2/49) 7.0% (57/812)
VTE suspected, but not confirmed 0% (0/213) 0% (0/303) 0% (0/49) 0.2% (2/812)
Insufficient documentation available in chart 6.1% (13/213) 10.9% (33/303) 20.4% (10/49) 10.0% (81/812)