Current prescribing patterns of elastic compression stockings post-deep venous thrombosis.

Hdl Handle:
http://hdl.handle.net/10147/207472
Title:
Current prescribing patterns of elastic compression stockings post-deep venous thrombosis.
Authors:
Roche-Nagle, G; Ward, F; Barry, M
Affiliation:
Department of Vascular and Endovascular Surgery, St Vincent's University, Hospital, Dublin 4, Ireland. grnagle@rcsi.ie
Citation:
Phlebology. 2010 Apr;25(2):72-8.
Journal:
Phlebology / Venous Forum of the Royal Society of Medicine
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207472
DOI:
10.1258/phleb.2009.009002
PubMed ID:
20348453
Abstract:
OBJECTIVES: Post-thrombotic syndrome (PTS) is a complication of deep vein thrombosis (DVT) characterized by chronic pain, swelling and heaviness, and may result in ulceration. Elastic compression stockings (ECS) worn daily after DVT appear to reduce the incidence and severity of PTS. The aims of our study were to investigate practices and perceptions of DVT patients and physicians regarding the use of ECS after DVT. METHODS: Two surveys were conducted. The first was sent to 225 staff and trainee clinicians and the second was administered to 150 DVT patients. RESULTS: The results demonstrated that the majority of senior staff (75%) believed that ECS were effective in preventing PTS and in managing venous symptoms. However, this was in contrast with junior trainees (21%) (P < 0.05). This resulted in only 63% of patients being prescribed ECS post-DVT. There was a lack of consensus as regards the optimal timing of initiation of ECS, duration of therapy and compression strength. Nearly all DVT patients who were prescribed ECS purchased them, 74% wore them daily, and most (61%) reported that ECS relieved swelling and symptoms. Physicians correctly predicted the main reasons for non-compliance, but misjudged the scale of patient compliance with ECS. CONCLUSIONS: Our findings suggest that there is a lack of consensus among doctors regarding ECS use after DVT and widespread education regarding the latest evidence of the benefit of ECS after DVT.
Language:
eng
MeSH:
Adult; Aged; Aged, 80 and over; Attitude of Health Personnel; Female; *Health Care Surveys; Humans; Male; Medical Staff, Hospital/psychology; Middle Aged; Patient Compliance/psychology; Patient Education as Topic; Postoperative Complications/prevention & control/*therapy; Postthrombotic Syndrome/prevention & control/*therapy; *Professional Practice; Questionnaires; Stockings, Compression/*utilization; Varicose Ulcer/prevention & control/therapy; Venous Thrombosis/*surgery; Young Adult
ISSN:
1758-1125 (Electronic); 0268-3555 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorRoche-Nagle, Gen_GB
dc.contributor.authorWard, Fen_GB
dc.contributor.authorBarry, Men_GB
dc.date.accessioned2012-02-01T10:28:47Z-
dc.date.available2012-02-01T10:28:47Z-
dc.date.issued2012-02-01T10:28:47Z-
dc.identifier.citationPhlebology. 2010 Apr;25(2):72-8.en_GB
dc.identifier.issn1758-1125 (Electronic)en_GB
dc.identifier.issn0268-3555 (Linking)en_GB
dc.identifier.pmid20348453en_GB
dc.identifier.doi10.1258/phleb.2009.009002en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207472-
dc.description.abstractOBJECTIVES: Post-thrombotic syndrome (PTS) is a complication of deep vein thrombosis (DVT) characterized by chronic pain, swelling and heaviness, and may result in ulceration. Elastic compression stockings (ECS) worn daily after DVT appear to reduce the incidence and severity of PTS. The aims of our study were to investigate practices and perceptions of DVT patients and physicians regarding the use of ECS after DVT. METHODS: Two surveys were conducted. The first was sent to 225 staff and trainee clinicians and the second was administered to 150 DVT patients. RESULTS: The results demonstrated that the majority of senior staff (75%) believed that ECS were effective in preventing PTS and in managing venous symptoms. However, this was in contrast with junior trainees (21%) (P < 0.05). This resulted in only 63% of patients being prescribed ECS post-DVT. There was a lack of consensus as regards the optimal timing of initiation of ECS, duration of therapy and compression strength. Nearly all DVT patients who were prescribed ECS purchased them, 74% wore them daily, and most (61%) reported that ECS relieved swelling and symptoms. Physicians correctly predicted the main reasons for non-compliance, but misjudged the scale of patient compliance with ECS. CONCLUSIONS: Our findings suggest that there is a lack of consensus among doctors regarding ECS use after DVT and widespread education regarding the latest evidence of the benefit of ECS after DVT.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshAttitude of Health Personnelen_GB
dc.subject.meshFemaleen_GB
dc.subject.mesh*Health Care Surveysen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMedical Staff, Hospital/psychologyen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPatient Compliance/psychologyen_GB
dc.subject.meshPatient Education as Topicen_GB
dc.subject.meshPostoperative Complications/prevention & control/*therapyen_GB
dc.subject.meshPostthrombotic Syndrome/prevention & control/*therapyen_GB
dc.subject.mesh*Professional Practiceen_GB
dc.subject.meshQuestionnairesen_GB
dc.subject.meshStockings, Compression/*utilizationen_GB
dc.subject.meshVaricose Ulcer/prevention & control/therapyen_GB
dc.subject.meshVenous Thrombosis/*surgeryen_GB
dc.subject.meshYoung Adulten_GB
dc.titleCurrent prescribing patterns of elastic compression stockings post-deep venous thrombosis.en_GB
dc.contributor.departmentDepartment of Vascular and Endovascular Surgery, St Vincent's University, Hospital, Dublin 4, Ireland. grnagle@rcsi.ieen_GB
dc.identifier.journalPhlebology / Venous Forum of the Royal Society of Medicineen_GB
dc.description.provinceLeinster-

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