Systematic review of patient preference and adherence to the correct use of graduated compression stockings to prevent deep vein thrombosis in surgical patients

Wade, Ros; Paton, Fiona; Woolacott, Nerys

doi:10.1111/jan.13148

Cited by 37 publications

(24 citation statements)

References 20 publications

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“…The same study found similar results with the length of AES and this was also found in a review of adherence in surgical specialities. 46 There is, therefore, scope for further research using a randomised control study design to assess widely used IPC machines, the length of sleeves and the effect both factors have on adherence, particularly in relation to comfort.…”

Section: Discussionmentioning

confidence: 99%

Intermittent pneumatic compression for venous thromboembolism prevention: a systematic review on factors affecting adherence

Greenall

Davis

2020

BMJ Open

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ObjectiveVenous thromboembolism (VTE) is a potentially fatal complication of hospitalisation. Intermittent pneumatic compression (IPC) is one approach to reducing the likelihood of a VTE. Adherence to IPC is known to be inadequate though the reasons for this remain unclear. This systematic review explores factors that affect adherence to IPC in the inpatient context.MethodsInformation sources—EMBASE, MEDLINE and PsycINFO were searched for literature between January 1960 and May 2019. Eligibility criteria—studies were included if they focused on inpatient care and examined factors affecting adherence to IPC devices.ResultsIncluded studies—a total of 20 out of 1476 studies were included. Synthesis of results—eight factors were identified that affected adherence: patient discomfort (n=8), healthcare professionals’ knowledge and behaviours (n=6), mobilisation (n=6), equipment supply and demand (n=3), the use of guidelines (n=3), intensive care context (n=2), computer-assisted prescribing (n=2) and patients’ knowledge of IPC (n=1).ConclusionOverall while the evidence base is quite limited, a number of factors were shown to affect adherence to IPC. These findings could be used to inform future research and quality improvement efforts to increase adherence in this very important, but currently under-researched area.

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Section: Discussionmentioning

confidence: 99%

Intermittent pneumatic compression for venous thromboembolism prevention: a systematic review on factors affecting adherence

Greenall

Davis

2020

BMJ Open

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“…; Wade et al. ) and are particularly difficult to put on and take off (Johnson ; Anand et al. ), resulting in poor adherence(Anand et al.…”

Section: Introductionmentioning

confidence: 99%

Active compression garment prevents tilt‐induced orthostatic tachycardia in humans

et al. 2019

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Compression garments are used by patients with lower extremity edema to help regulate fluid distribution and to prevent orthostatic symptoms. Current compression stockings are often reported as uncomfortable and adherence is poor. The current study was conducted to assess the efficacy of a novel active compression garment on healthy individuals undergoing 60‐degree head‐up tilts for 10 min to induce venous pooling and subsequent physiological responses. During tilts while garments were on, participants’ absolute change in heart rate relative to baseline was lower (16.7 ± 8.7 BPM ) compared to control (20.9 ± 11.47 BPM , P = 0.002). There were no differences in changes in mean arterial blood pressure between conditions ( P = 0.303). One participant had a pre‐syncopal event which occurred during a tilt without garments. This participant did not experience pre‐syncopal symptoms with the garments on. All together, these data suggest that a novel active compression garment is capable of blunting increases in heart rate during head‐up tilt. While untested thus far in patient populations, these garments may prove efficacious in preventing orthostatic intolerance.

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“…The patients should constantly focus on whether the elastic stockings are worn correctly, because the actual pressure value is closely related to the correct wearing. In further, according to the guideline of health promotion in UK national institute, the patients should start to use elastic stockings until they have complete activity ability [ 5 , 17 , 33 ]. On the other hand, IPCD is a engineering device that can provide progressive pressure on the ankle, calf, and thigh.…”

Section: Discussionmentioning

confidence: 99%

“…The common physical measures include IPCD, gradient elastic stockings, plantar vein pumps, etc. Currently, they can be used alone or as an auxiliary measure for drug prevention, and are an important strategies for DVT prevention [ 17 ]. Specifically, IPCD can be considered as one common mechanical precaution for DVT in clinical practice [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Semiautomatic intermittent pneumatic compression device applied to deep vein thrombosis in major orthopedic surgery

Wei

Bao

Li³

et al. 2018

BioMed Eng OnLine

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ObjectiveTo investigate the effect of additional semiautomatic intermittent pneumatic compression device (IPCD) in the prevention of deep vein thrombosis (DVT) of lower extremity in these patients undergoing major orthopedic surgery, when compared with the conventional graduated compression stockings alone.MethodsThe data of 112 patients undergoing major orthopedic surgery were retrospectively analyzed. 51 patients who ever received IPCD and graduated compression stockings during major orthopedic surgery were taken as the experimental group, and 61 patients who only received the conventional graduated compression stockings during surgery were taken as the observation group. The Doppler sonography was utilized to detect the presence of DVT and pulmonary embolism pre- and postoperatively. Besides, the mean and peak velocity of blood flow in femoral vein were recorded before and after surgery. And then, the comparisons between the two groups were made, respectively.ResultsWhen compared with the conventional graduated compression stockings alone, the intraoperative application of IPCD and stockings contributed the significant reduction of DVT (3.92%, 2/51 versus 9.84%, 6/61, X2 = 5.632, P = 0.034). In terms of the mean and peak velocity of blood flow in femoral vein, the postoperative difference was higher in the observation group than those in the control group (149.56 ± 26.35 versus 130.15 ± 22.56 mm/s, P < 0.05). With respect to perioperative blood loss, the difference between the two groups was statistically significant (800.5 ± 320.7 versus 950.1 ± 305.9 ml, P = 0.031).ConclusionsIntraoperative application of IPCD could promote blood circulation of lower limbs, and significantly decrease the incidence of potentially fatal DVT in patients undergoing major orthopedic surgery, when compared with the conventional graduated compression stockings.

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Systematic review of patient preference and adherence to the correct use of graduated compression stockings to prevent deep vein thrombosis in surgical patients

Cited by 37 publications

References 20 publications

Intermittent pneumatic compression for venous thromboembolism prevention: a systematic review on factors affecting adherence

Intermittent pneumatic compression for venous thromboembolism prevention: a systematic review on factors affecting adherence

Active compression garment prevents tilt‐induced orthostatic tachycardia in humans

Semiautomatic intermittent pneumatic compression device applied to deep vein thrombosis in major orthopedic surgery

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