A prospective evaluation of standard versus battery-powered sequential compression devices in postsurgical patients

Andrea T. Obi; Rafael Alvarez; Bradley N. Reames; Marc J. Moote; Maureen A. Thompson; Thomas W. Wakefield; Peter K. Henke

doi:10.1016/j.amjsurg.2014.06.017

A prospective evaluation of standard versus battery-powered sequential compression devices in postsurgical patients

Andrea T. Obi, Rafael Alvarez, Bradley N. Reames, Marc J. Moote, Maureen A. Thompson, Thomas W. Wakefield, Peter K. Henke

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Background Sequential compression devices (SCDs) reduce deep venous thrombosis in postsurgical patients, but the use is hindered by poor compliance. Methods General and orthopedic surgery patients (n = 67) were randomized to standard- or battery-powered SCDs. Compliance was documented hourly. Nurses and patients were issued a survey to assess barriers to compliance and device satisfaction. Results Compliance with standard SCDs was 47% compared with 85% with battery-powered SCDs (P <.001). The most common barriers identified by nurses and patients were ambulation and transfers, which were mitigated with the battery-powered device. A majority (79%) of those issued a battery-powered device reported no major problems compared with only 14% of patients issued a standard device (P <.005). Conclusions The dual venous thromboembolism prevention strategies of early mobilization and SCD utilization can be met with the appropriate equipment.

Original language	English (US)
Pages (from-to)	675-681
Number of pages	7
Journal	American journal of surgery
Volume	209
Issue number	4
DOIs	https://doi.org/10.1016/j.amjsurg.2014.06.017
State	Published - Apr 1 2015
Externally published	Yes

Keywords

Compression devices
Deep venous thrombosis
Prophylaxis
Quality improvement
Venous thromboembolism

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2014.06.017

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title = "A prospective evaluation of standard versus battery-powered sequential compression devices in postsurgical patients",

abstract = "Background Sequential compression devices (SCDs) reduce deep venous thrombosis in postsurgical patients, but the use is hindered by poor compliance. Methods General and orthopedic surgery patients (n = 67) were randomized to standard- or battery-powered SCDs. Compliance was documented hourly. Nurses and patients were issued a survey to assess barriers to compliance and device satisfaction. Results Compliance with standard SCDs was 47% compared with 85% with battery-powered SCDs (P <.001). The most common barriers identified by nurses and patients were ambulation and transfers, which were mitigated with the battery-powered device. A majority (79%) of those issued a battery-powered device reported no major problems compared with only 14% of patients issued a standard device (P <.005). Conclusions The dual venous thromboembolism prevention strategies of early mobilization and SCD utilization can be met with the appropriate equipment.",

keywords = "Compression devices, Deep venous thrombosis, Prophylaxis, Quality improvement, Venous thromboembolism",

author = "Obi, {Andrea T.} and Rafael Alvarez and Reames, {Bradley N.} and Moote, {Marc J.} and Thompson, {Maureen A.} and Wakefield, {Thomas W.} and Henke, {Peter K.}",

note = "Funding Information: Funding was provided internally through UMHS Fostering Innovations Grant program. Publisher Copyright: {\textcopyright} 2015 Elsevier Inc.",

year = "2015",

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doi = "10.1016/j.amjsurg.2014.06.017",

language = "English (US)",

volume = "209",

pages = "675--681",

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T1 - A prospective evaluation of standard versus battery-powered sequential compression devices in postsurgical patients

AU - Obi, Andrea T.

AU - Alvarez, Rafael

AU - Reames, Bradley N.

AU - Moote, Marc J.

AU - Thompson, Maureen A.

AU - Wakefield, Thomas W.

AU - Henke, Peter K.

PY - 2015/4/1

Y1 - 2015/4/1

N2 - Background Sequential compression devices (SCDs) reduce deep venous thrombosis in postsurgical patients, but the use is hindered by poor compliance. Methods General and orthopedic surgery patients (n = 67) were randomized to standard- or battery-powered SCDs. Compliance was documented hourly. Nurses and patients were issued a survey to assess barriers to compliance and device satisfaction. Results Compliance with standard SCDs was 47% compared with 85% with battery-powered SCDs (P <.001). The most common barriers identified by nurses and patients were ambulation and transfers, which were mitigated with the battery-powered device. A majority (79%) of those issued a battery-powered device reported no major problems compared with only 14% of patients issued a standard device (P <.005). Conclusions The dual venous thromboembolism prevention strategies of early mobilization and SCD utilization can be met with the appropriate equipment.

AB - Background Sequential compression devices (SCDs) reduce deep venous thrombosis in postsurgical patients, but the use is hindered by poor compliance. Methods General and orthopedic surgery patients (n = 67) were randomized to standard- or battery-powered SCDs. Compliance was documented hourly. Nurses and patients were issued a survey to assess barriers to compliance and device satisfaction. Results Compliance with standard SCDs was 47% compared with 85% with battery-powered SCDs (P <.001). The most common barriers identified by nurses and patients were ambulation and transfers, which were mitigated with the battery-powered device. A majority (79%) of those issued a battery-powered device reported no major problems compared with only 14% of patients issued a standard device (P <.005). Conclusions The dual venous thromboembolism prevention strategies of early mobilization and SCD utilization can be met with the appropriate equipment.

KW - Compression devices

KW - Deep venous thrombosis

KW - Prophylaxis

KW - Quality improvement

KW - Venous thromboembolism

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A prospective evaluation of standard versus battery-powered sequential compression devices in postsurgical patients

Abstract

Keywords

ASJC Scopus subject areas

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