Venous Thromboembolic Disease Reduction With a Portable Pneumatic Compression Device

被引：56

作者：

Froimson, Mark J. ^{[1
]}

Murray, Trevor G. ^{[1
]}

Fazekas, Alice F. ^{[1
]}

机构：

[1] Cleveland Clin, Dept Orthopaed Surg, Cleveland, OH 44195 USA

来源：

JOURNAL OF ARTHROPLASTY | 2009年 / 24卷 / 02期

关键词：

venous thromboembolic disease; THA; prevention; TOTAL KNEE ARTHROPLASTY; PROPHYLAXIS; PREVENTION; THROMBOSIS; HIP;

D O I：

10.1016/j.arth.2007.10.030

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study compares a miniaturized, portable, sequential, pneumatic compression device (ActiveCare continuous enhanced circulation therapy [CECT] system) (Medical Compression Systems Ltd, Or Aqiva, Israel), with a nonmobile, nonsequential device on the ability to prevent postoperative deep venous thrombosis (DVT) after joint arthroplasty. All patients were treated with low-molecular-weight heparin, application of I of the 2 devices perioperatively, and routine duplex screening. The CECT system had better compliance (83% of the time vs 49%), lower rates of DVT (1.3% compared with 3.6%), reduction in clinically important pulmonary embolism (0 compared to 0.66%), and shorter length of hospital stay (4.2 vs. 5.0 days). The portable CECT system proved significantly more effective than the standard intermittent pneumatic compression when used in conjunction with low-molecular-weight heparin for DVT prevention in high-risk orthopedic patients.

引用

页码：310 / 316

页数：7