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 journalArticle

5 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 languageEnglish (US)
Pages (from-to)675-681
Number of pages7
JournalAmerican journal of surgery
Volume209
Issue number4
DOIs
StatePublished - Apr 1 2015

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Keywords

  • Compression devices
  • Deep venous thrombosis
  • Prophylaxis
  • Quality improvement
  • Venous thromboembolism

ASJC Scopus subject areas

  • Surgery

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