• DVT SSOU Admission Guideline


    Deep Vein Thrombosis (DVT), either proven or awaiting imaging, for initial treatment whilst awaiting transfer to Hospital In The Home (HITH) / Home / Nursing Home / District Hospital or education about NOAC use

    Some DVTpatients will benefit from allied health assessment if pain is limiting mobility.In occasional cases PE might need to be investigated for as well during the SSOU admission.

    Admission Criteria

    • DVT most likely to be below mid-thigh
    • Awaiting imaging, HITH or allied health assessment


    Exclusion Criteria

    • Negative D Dimer & low pre test probability excludes the diagnosis
    • DVT above inguinal ligament
    • Pegnancy
    • Active bleeding
    • Contra-indicatins to anticoagulant therapy
    • Sympomtatic PE
    • Major comorbidity



    • FEB
    • UEC
    • Glucose
    • Ultrasound
    • Weight


    Suggested Medications

    For long-term anticoagulation warafarin is the most cost-effective option however for a 3 month course of anticoagulation the increased cost of NOACs is outweighted by the cost of Clexane, HITH admission and regular pathology testing while warfarin dose is stabilised. 

     Drug  Dose  Frequency  Route 
     Enoxiparin   1.5mg/kg to max 100mg  Daily   Subcut 
     Warfarin    5mg  Daily for 3 days then as per INR   Oral 
     If using HITH for warfarinisaion    
     Rivaroxiban  (streamlined Authority)   15mg  BD for 21 days 
     Rivaroxaban (to be prescribed by GP at follow up appointment)  20mg  daily  Oral


    Specific Observations

    Accurate weight for Clexane dosage  (NB maximum dose 100mg)

    Specific Management Issues

    Anitcoagulation education required

    Discharge Criteria

    • Suitable home situation
    • HITH or GP follow up


    Hospital Admission Criteria

    • Inadequate social supports
    • Ongoing pain
    • Development of PE symptoms
    • Clinical factors that will complicate anticoagulation (falls, alcoholism, etc)
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