BMJ  2008;336:943-944 (26 April), doi:10.1136/bmj.39513.642789.AD

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Use graduated compression stockings postoperatively to prevent deep vein thrombosis

Susan M Phillips, director1, Martin Gallagher, research fellow2, Heather Buchan, advisor3

1 Research Implementation Program, National Institute of Clinical Studies, National Health and Medical Research Council, Melbourne, VC 3004 Australia , 2 George Institute for International Health, Sydney, Australia, 3 National Health and Medical Research Council, Melbourne

Correspondence to: S M Phillips sue.phillips@nhmrc.gov.au

Improvements in clinicians’ use of graduated compression stockings are needed, supported by consistent policies in hospitals and general practice

The first 150 words of the full text of this article appear below.

The overall risk of deep vein thrombosis is higher than 20% after major surgery and higher than 40% in patients having major orthopaedic surgery.1 The level of risk for individual patients depends on their clinical condition and the nature of the operation. Although a deep vein thrombosis may be asymptomatic, it will often give rise to long term morbidity, and there is potential for pulmonary embolism and sudden death. Graduated compression stockings are effective in decreasing the risk of deep vein thrombosis, either alone or in combination with pharmacological prophylaxis in high risk patients. Both forms of prophylaxis are used suboptimally in clinical settings.2 Graduated compression stockings should be used routinely for surgical inpatients.


Graduated compression stockings are effective in reducing the risk of deep vein thrombosis in surgical patients, either alone or in combination with pharmacological prophylaxis in patients at higher risk
The advantage of stockings in surgical settings . . . [Full text of this article]



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Rapid Responses:

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Stockings should be properly fitted
David M Lewis
bmj.com, 29 Apr 2008 [Full text]
stockings? now and then for sure
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TEDs and related notes.
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