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Deep vein thrombosis

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Prevention
  • thigh-length graduated compression stockings a
Why?
  • It reduces DVT and PE in patients having major surgery  if worn until discharge or full mobility. a
  • It saves money - using compression stockings is more cost-effective than doing nothing. b

Graduated compression stockings reduce symptomatic venous thromboembolism

Patient Treatment Comparison Outcome CER OR
(95% CI)
NNT
(95% CI)
major  surgery a compression stockings until discharge no stockings symptomatic venous thromboembolism
at 60 days
26% 0.34
(0.25 to 0.46)
7
(6 to 8)
  • Mechanical devices (compression stockings, calf or foot pumps) reduce DVT in elderly patients after surgery for proximal hip fractures. a

Mechanical devices reduce DVT in elderly patients having surgery for a hip fracture

Patient Treatment Comparison Outcome CER OR
(95% CI)
NNT
(95% CI)
elderly with a hip fracture a mechanical devices nothing DVT
at discharge
20% 0.24
(0.13 to 0.44)
7
(6 to 10)
 

 

Expiry date: January 2004
Levels of Evidence used in grading these guides

Author   C   Ball
Reviewer   J   Ginsberg
CAT Writers   C   Ball , B   Phillips