Calf-thigh sequential pneumatic compression compared with plantar venous pneumatic compression to prevent deep-vein thrombosis after non-lower extremity trauma

C. Gregory Elliott, Tina Dudney, Marlene Egger, James F. Orme, Terry P. Clemmer, Susan D. Horn, Lindell Weaver, Diana Handrahan, Frank Thomas, Steven Merrell, Natalie Kitterman, Sandra Yeates

Research output: Contribution to journalArticle

66 Citations (Scopus)

Abstract

Objective: To compare the effectiveness of calf-thigh sequential pneumatic compression devices with the effectiveness of plantar venous intermittent pneumatic compression devices in prevention of venous thrombosis after major trauma. Subjects and Methods: We evaluated 181 consecutive patients after major trauma without lower extremity injuries that precluded the use of pneumatic compression devices. We randomly assigned 149 patients to either calf-thigh sequential pneumatic compression or plantar venous pneumatic compression. After blinding the observers to the method of prophylaxis against deep-vein thrombosis, we performed bilateral compression ultrasonography on or before day 8 after randomization. Results: Among 149 randomized patients, 62 who received calf-thigh sequential pneumatic compression and 62 who received plantar venous intermittent pneumatic compression devices completed the trial. Thirteen patients randomized to plantar venous intermittent pneumatic compression (21.0%) and 4 patients randomized to calf-thigh sequential pneumatic compression (6.5%) had deep- vein thrombosis (p = 0.009). Seven of 13 patients with deep-vein thrombosis after prophylaxis with plantar venous intermittent pneumatic compression had bilateral deep-vein thromboses, whereas all 4 patients with deep-vein thrombosis after prophylaxis with calf-thigh sequential pneumatic compression had unilateral deep-vein thrombosis. Conclusion: Calf-thigh sequential pneumatic compression prevents deep-vein thrombosis more effectively than plantar venous intermittent pneumatic compression after major trauma without lower extremity injuries.

Original languageEnglish (US)
Pages (from-to)25-32
Number of pages8
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume47
Issue number1
DOIs
StatePublished - Jul 1 1999
Externally publishedYes

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Thigh
Venous Thrombosis
Extremities
Wounds and Injuries
Intermittent Pneumatic Compression Devices
Lower Extremity
Equipment and Supplies
Random Allocation
Ultrasonography

All Science Journal Classification (ASJC) codes

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Calf-thigh sequential pneumatic compression compared with plantar venous pneumatic compression to prevent deep-vein thrombosis after non-lower extremity trauma. / Elliott, C. Gregory; Dudney, Tina; Egger, Marlene; Orme, James F.; Clemmer, Terry P.; Horn, Susan D.; Weaver, Lindell; Handrahan, Diana; Thomas, Frank; Merrell, Steven; Kitterman, Natalie; Yeates, Sandra.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 47, No. 1, 01.07.1999, p. 25-32.

Research output: Contribution to journalArticle

Elliott, C. Gregory ; Dudney, Tina ; Egger, Marlene ; Orme, James F. ; Clemmer, Terry P. ; Horn, Susan D. ; Weaver, Lindell ; Handrahan, Diana ; Thomas, Frank ; Merrell, Steven ; Kitterman, Natalie ; Yeates, Sandra. / Calf-thigh sequential pneumatic compression compared with plantar venous pneumatic compression to prevent deep-vein thrombosis after non-lower extremity trauma. In: Journal of Trauma - Injury, Infection and Critical Care. 1999 ; Vol. 47, No. 1. pp. 25-32.
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abstract = "Objective: To compare the effectiveness of calf-thigh sequential pneumatic compression devices with the effectiveness of plantar venous intermittent pneumatic compression devices in prevention of venous thrombosis after major trauma. Subjects and Methods: We evaluated 181 consecutive patients after major trauma without lower extremity injuries that precluded the use of pneumatic compression devices. We randomly assigned 149 patients to either calf-thigh sequential pneumatic compression or plantar venous pneumatic compression. After blinding the observers to the method of prophylaxis against deep-vein thrombosis, we performed bilateral compression ultrasonography on or before day 8 after randomization. Results: Among 149 randomized patients, 62 who received calf-thigh sequential pneumatic compression and 62 who received plantar venous intermittent pneumatic compression devices completed the trial. Thirteen patients randomized to plantar venous intermittent pneumatic compression (21.0{\%}) and 4 patients randomized to calf-thigh sequential pneumatic compression (6.5{\%}) had deep- vein thrombosis (p = 0.009). Seven of 13 patients with deep-vein thrombosis after prophylaxis with plantar venous intermittent pneumatic compression had bilateral deep-vein thromboses, whereas all 4 patients with deep-vein thrombosis after prophylaxis with calf-thigh sequential pneumatic compression had unilateral deep-vein thrombosis. Conclusion: Calf-thigh sequential pneumatic compression prevents deep-vein thrombosis more effectively than plantar venous intermittent pneumatic compression after major trauma without lower extremity injuries.",
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