An early warning system can help
doctors prevent many cases of deep-vein thrombosis, the so-called
"economy-class syndrome" that causes potentially fatal blood
clots, researchers said.
Millions develop the clots
each year, usually because of inactivity, cancer or dehydration.
The condition has also been known to afflict passengers on
long airline flights
Although the clots often develop
in hospital patients who can not move around, doctors frequently
do not take essential steps to prevent them.
A study published in this week's
edition of The New England Journal of Medicine tested an experimental
computer alert system at Brigham and Women's Hospital in Boston.
The computer program, linked
to the hospital's patient database, identified more than 2,500
patients at risk of developing DVT and who may have needed
preventive care, such as anti-coagulant drugs.
The program randomly assigned
roughly half of the patients to an intervention group in which
doctors were warned of their risk for developing DVT, and
the remaining patients to a control group in which no alert
was issued.
Study co-author Samuel Goldhaber
and his colleagues found that more than twice as many people
got treatment as a result of the automated alerts, producing
a 41 percent decrease in the risk of either a deep-vein thrombosis
or a lung embolism, which is caused when a clot lodges in
the lung.
"We can definitely improve
the quality of life of those who don't get (a clot) so they
don't have the leg pains, the shortness of breath," Goldhaber
stated.
Although Brigham and Women's
issued a statement saying the alert system had the potential
to save thousands of lives, the researchers were not able
to conclusively prove this. Goldhaber said the number of patients
involved may have been too small to detect a significant reduction
in the death rate.
Still, he said such clots are
"by-and-large preventable," and that the study results may
spur other hospitals to take similar steps to identify and
treat at-risk patients.
In an editorial in the Journal,
Pierre Durieux of the George Pompidou European Hospital in
Paris said the test illustrates the benefits of automated
alerts for doctors.