Effectiveness of Sequential Compression Devices in Prevention of Venous Thromboembolism in Medically Ill Hospitalized Patients: A Retrospective Cohort Study
Turk J Haematol. 2019 May 01;:
Authors: Dhakal P, Wang L, Gardiner J, Shrotriya S, Sharma M, Rayamajhi S
Objective: To evaluate effectiveness of sequential compression devices (SCD) for venous thromboembolism (VTE) prevention in medically ill hospitalized patients.
Methods: Adult patients admitted to a teaching hospital from April 2015 and March 2016 were included. Patients on anticoagulants with or without SCD were excluded. We analyzed VTE risk, length of hospital stay, and other co-morbidities among propensity score-matched patients on SCD and no thromboprophylaxis (NONE).
Results: Among 30,824 patients, 67 patients (0.22%) developed VTE during the hospital stay: DVT in 55 and PE in 12. VTE was seen in 47 out of 20,018 patients on SCD (41 DVT, 6 PE) and 20 out of 10,819 patients on NONE (14 DVT, 6 PE). Risk- adjusted analysis showed no significant difference in VTE incidence in SCD group compared to NONE. (Odds Ratio 0.99, 95% Confidence Interval 0.57-1.73, p=0.74).
Conclusion: SCD, compared to NONE, is not associated with decreased VTE incidence during hospital stay.
PMID: 31042860 [PubMed - as supplied by publisher]