A survey of knowledge and application of mechanical thromboprophylaxis among the medical staff of intensive care units in North China

Sun, Bing; Tang, Xiao; Liang, Lirong; Tong, Zhaohui

doi:10.1111/crj.12715

Cited by 8 publications

(6 citation statements)

References 10 publications

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“…erefore, it is extremely important to find effective physiotherapy. At present, the commonly used schemes include gradient pressure elastic socks (graduated compression stockings, GCS) and intermittent inflatable pressurization device (IPC) [8]. In clinical application, improper application of IPC can lead to peroneal nerve injury and even interventricular septum syndrome; improper pressure gradient of elastic socks can cause venous stasis and even induce blisters, skin ulceration, and so on.…”

Section: Discussionmentioning

confidence: 99%

“…DVT's basic physical prevention program includes air pressure massage of both lower limbs with the aid of intermittent inflatable pressurization (intermittent pneumatic compression, IPC) device [8]. Contraindications should be excluded: congestive heart failure, pulmonary edema, local skin ulceration, lower limb ischemic vascular disease, and so on.…”

Section: Treatment Methodmentioning

confidence: 99%

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Clinical Study of Neuromuscular Electrical Stimulation in the Prevention of Deep Venous Thrombosis of Lower Extremities after Anterior Cruciate Ligament Reconstruction

Xiong

Zhang

2022

Journal of Healthcare Engineering

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This paper is written to observe the clinical effects of “neuromuscular electrical stimulation in the prevention of deep venous thrombosis of lower extremities after anterior cruciate ligament reconstruction” in our department. Data from March 2018 to March 2021 was selected including 187 males and 91 females. They were randomly divided into experimental groups and control groups. The experimental group adopted DVT general prevention + basic physical prevention + NMES and the control group adopted DVT general prevention + basic physical prevention. The VAS score, the content of blood D-dimer, the circumference of the affected knee, and results of DVT color ultrasound screening were studied in each group on the first day before operation and the fourth day after the operation. Results obtained showed that there were no significant differences in the baseline characteristics of the two groups of patients, such as gender composition, age, and so on P > 0.05 . The VAS scores, blood D-dimer content, and knee circumference of each group on the day before and on the fourth day after surgery were observed. Diameter and DVT color Doppler ultrasound screening results were superior to the control group in the test group and the difference was statistically significant P < 0.05 . It was concluded that NMES can effectively reduce the pain, knee swelling, and incidence of DVT in patients after ACL reconstruction. It is a simple and effective intervention therapy to prevent the occurrence of DVT.

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Section: Discussionmentioning

confidence: 99%

Section: Treatment Methodmentioning

confidence: 99%

Clinical Study of Neuromuscular Electrical Stimulation in the Prevention of Deep Venous Thrombosis of Lower Extremities after Anterior Cruciate Ligament Reconstruction

Xiong

Zhang

2022

Journal of Healthcare Engineering

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“…Recent meta-analyses showed that mechanical prophylaxis is effective but there is a risk of pressure injury [ 33 , 36 , 37 ]. Nevertheless, a study in China showed that 25% of ICU medical staff never heard of mechanical DVT prophylaxis [ 38 ]. In addition, another review indicated that DVT prophylaxis is often overlooked [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Prevention, treatment, and risk factors of deep vein thrombosis in critically ill patients in Zhejiang province, China: a multicenter, prospective, observational study

Zhou

Huang

et al. 2021

Annals of Medicine

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Purpose The aim of this study is to investigate the prevention and treatment patterns of deep vein thrombosis (DVT) in critically ill patients and to explore the risk factors for DVT in people from Zhejiang Province, China. Materials and methods This study prospectively enrolled patients admitted in intensive care units (ICUs) of 54 hospitals from 09/16/2019 to 01/16/2020. The risk of developing DVT and subsequent prophylaxis was evaluated. The primary outcome was DVT occurrence during ICU hospitalisation. Univariate and multivariate logistic regression were performed to determine the risk factors for DVT. Results A total of 940 patients were included in the study. Among 847 patients who received prophylaxis, 635 (75.0%) patients received physical prophylaxis and 199 (23.5%) patients received drug prophylaxis. Fifty-eight (6.2%) patients were diagnosed with DVT after admission to the ICU, and 36 patients were treated with anticoagulants (all patients received low molecular weight heparin [LMWH]). D-dimer levels (OR = 1.256, 95% CI: 1.132–1.990), basic prophylaxis (OR = 0.092, 95% CI: 0.016–0.536), and physical prophylaxis (OR = 0.159, 95% CI: 0.038–0.674) were independently associated with DVT in ICU patients. The short-term survival was similar between DVT and non-DVT patients. Conclusions DVT prophylaxis is widely performed in ICU patients. Prophylaxis is an independent protective factor for DVT occurrence. The most common treatment of DVT patients is LMWH, although it might increase the rate of bleeding. Key messages This is the only multicenter and prospective study of DVT in ICUs in China. d -dimer levels were independently associated with DVT in ICU patients. Prophylaxis was an independent protective factor for DVT occurrence in ICU.

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“…It found that approximately 52.30% of all surveyed medical staff often practiced mechanical thromboprophylaxis. However, 25% of the included staff had never heard of mechanical thromboprophylaxis [ 45 ]. There is a need to remove concerns regarding IPC and GCS and properly educate the staff as these measures could help decrease VTE incidence in ICUs and improve the prognosis of critically ill patients by increasing the use of mechanical thromboprophylaxis.…”

Section: Reviewmentioning

confidence: 99%

Thromboprophylaxis in Intensive Care Unit Patients: A Literature Review

Ejaz

Ahmed

Tasleem

et al. 2018

Cureus

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Thromboembolism is a major complication in hospitalized patients. Intensive care unit (ICU) patients have a greater risk of thrombotic events due to additional risk factors such as immobilization, mechanical ventilation, and central catheters. The diagnosis and management of deep vein thrombosis (DVT) and pulmonary embolism (PE) in critically ill patients are challenging and these conditions are associated with high mortality. Medical thromboprophylaxis with low molecular weight heparin (LMWH) as well as unfractionated heparin (UFH) has been shown to reduce the incidence of thromboembolic events in such patients. For patients with high risk of bleeding, mechanical thromboprophylaxis can be used. Literature database was conducted on Medline for articles published up to 2018 using particular search terms such as thromboprophylaxis and venous thromboembolism in ICU patients. The following review summarizes the existing data regarding thromboprophylaxis in ICU patients with special consideration to the use of mechanical prophylaxis and pharmacologic prophylaxis using heparin products.

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A survey of knowledge and application of mechanical thromboprophylaxis among the medical staff of intensive care units in North China

Cited by 8 publications

References 10 publications

Clinical Study of Neuromuscular Electrical Stimulation in the Prevention of Deep Venous Thrombosis of Lower Extremities after Anterior Cruciate Ligament Reconstruction

Clinical Study of Neuromuscular Electrical Stimulation in the Prevention of Deep Venous Thrombosis of Lower Extremities after Anterior Cruciate Ligament Reconstruction

Prevention, treatment, and risk factors of deep vein thrombosis in critically ill patients in Zhejiang province, China: a multicenter, prospective, observational study

Thromboprophylaxis in Intensive Care Unit Patients: A Literature Review

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