Effectiveness of Sequential Compression Devices in Prevention of Venous Thromboembolism in Medically Ill Hospitalized Patients: A Retrospective Cohort Study

Prajwal Dhakal; Ling Wang; Joseph Gardiner; Shiva Shrotriya; Mukta Sharma; Supratik Rayamajhi

doi:10.4274/tjh.galenos.2019.2018.0413

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Effectiveness of Sequential Compression Devices in Prevention of Venous Thromboembolism in Medically Ill Hospitalized Patients: A Retrospective Cohort Study

Journal article

Open access

Peer reviewed

Effectiveness of Sequential Compression Devices in Prevention of Venous Thromboembolism in Medically Ill Hospitalized Patients: A Retrospective Cohort Study

Prajwal Dhakal, Ling Wang, Joseph Gardiner, Shiva Shrotriya, Mukta Sharma and Supratik Rayamajhi

Turkish journal of haematology : official journal of Turkish Society of Haematology, Vol.36(3), pp.193-198

08/02/2019

DOI: 10.4274/tjh.galenos.2019.2018.0413

PMCID: PMC6682779

PMID: 31042860

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Abstract

To evaluate the effectiveness of sequential compression devices (SCDs) for venous thromboembolism (VTE) prevention in medically ill hospitalized patients. Adult patients admitted to a teaching hospital from April 2015 to March 2016 were included. Patients on anticoagulants with or without SCDs were excluded. We analyzed VTE risk, length of hospital stay, and other comorbidities among propensity score-matched patients on SCDs and those without thromboprophylaxis (NONE). Among 30,824 patients, 67 patients (0.22%) developed VTE during their hospital stays, with deep vein thrombosis (DVT) in 55 cases and pulmonary embolism (PE) in 12. VTE was seen in 47 out of 20,018 patients on SCDs (41 DVT, 6 PE) and 20 out of 10,819 patients without SCDs (14 DVT, 6 PE). Risk-adjusted analysis showed no significant difference in VTE incidence in the SCD group compared to NONE (odds ratio 0.99, 95% confidence interval 0.57-1.73, p=0.74). Compared to the NONE group, SCDs are not associated with decreased VTE incidence during hospital stay.

Anticoagulants - pharmacology

Anticoagulants - therapeutic use

Cohort Studies

Female

Hospitalization

Humans

Intermittent Pneumatic Compression Devices - trends

Male

Middle Aged

Retrospective Studies

Venous Thromboembolism - drug therapy

Venous Thromboembolism - prevention & control

Details

Title: Subtitle: Effectiveness of Sequential Compression Devices in Prevention of Venous Thromboembolism in Medically Ill Hospitalized Patients: A Retrospective Cohort Study
Creators: Prajwal Dhakal - University of Nebraska Medical Center
Ling Wang - Michigan State University
Joseph Gardiner - Michigan State University
Shiva Shrotriya - Michigan State University
Mukta Sharma - Michigan State University
Supratik Rayamajhi - Michigan State University
Resource Type: Journal article
Publication Details: Turkish journal of haematology : official journal of Turkish Society of Haematology, Vol.36(3), pp.193-198
DOI: 10.4274/tjh.galenos.2019.2018.0413
PMID: 31042860
PMCID: PMC6682779
ISSN: 1300-7777
eISSN: 1308-5263
Language: English
Date published: 08/02/2019
Academic Unit: Hematology, Oncology, and Blood & Marrow Transplantation; Internal Medicine
Record Identifier: 9984359681402771

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