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Deep vein thrombosis

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Therapy

Ask patients to wear knee-length sized-to-fit elasticated stockings during the day. a

Why?

  • Patients with proximal DVT are less likely to develop post-thrombotic leg syndrome (leg pain, swelling and ulcers), if they wear knee-length sized-to-fit elasticated stockings daily for at least 2 years. However stockings do not clearly prevent recurrent DVT or ulcers. b
  • Patient compliance is good - 93% wear stockings all or most of the time. b

Sized-to-fit elasticated stockings worn daily reduce thrombotic leg syndrome

Patient Treatment Comparison Outcome CER RRR
(95% CI)
NNT
(95% CI)
proximal DVT a sized-to-fit elasticated stockings daily for at least 2 years no stockings mild-to-moderate post-thrombotic leg syndrome
at 5 years
47% 58%
(34% to 73%)
4
(3 to 7)
      severe post-thrombotic leg syndrome
at 5 years
23% 51%
(5% to 75%)
8
(4 to 68)

 

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

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