Intermittent pneumatic compression or graduated ... | 合法醫療器材資訊網

由RJMorris著作·2010·被引用108次—Intermittentpneumaticcompressionorgraduatedcompressionstockingsfordeepveinthrombosisprophylaxis?Asystematicreviewofdirectclinicalcomparisons.

Objective: To review the relative efficacy of intermittent pneumatic compression (IPC) and graduated compression stockings (GCS) stated in direct clinical comparisons.

Summary background data: Both IPC and GCS are recommended for deep vein thrombosis (DVT) prophylaxis in surgical patients. Although both are known to be effective, guidance is less clear on the clinical grounds for choosing between the 2 devices.

Methods: Major medical databases were searched for trial reports published between January 1970 and August 2008. All trials comprising a direct clinical comparison between IPC and GCS were reviewed.

Results: Ten direct comparisons were found, 9 of which were with surgical patients. The difference in DVT outcome only reached statistic significance in 3, all of which showed IPC to have the lower DVT rate. Five of the trials that did not produce statistic signif...