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

Practice

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Use graduated compression stockings postoperatively to prevent deep vein thrombosis

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

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 clinical problem

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.

Key points 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]

The evidence for change

Methods

Barriers to change

How should we change our practice?

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Rapid Responses:

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Stockings should be properly fitted

David M Lewis
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stockings? now and then for sure

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TEDs and related notes.

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