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Knee versus thigh length graduated compression stockings for prevention of deep venous thrombosis: A systematic review

Sajid, MS; Tai, NRM; Goli, G; Morris, RW; Baker, DM; Hamilton, G; (2006) Knee versus thigh length graduated compression stockings for prevention of deep venous thrombosis: A systematic review. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY , 32 (6) 730 - 736. 10.1016/j.ejvs.2006.06.021.

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Abstract

Objective. Graduated compression stockings are a valuable means of thrombo-prophylaxis but it is unclear whether kneelength (KL) or thigh length (TL) stockings are more effective. The aim of this review was to systematically analyse randomised controlled trials that have evaluated stocking length and efficacy of thromboprophylaxis.Method. A systematic reviezv of the literature was undertaken. Clinical trials on hospitalised populations and passengers on long haul flights were selected according to specific criteria and analysed to generate summated data.Results. 14 randomized control trials were analysed. Thirty six of 1568 (2.3%) participants randomised to KL stockings developed a deep venous thrombosis, compared with 79 of 1696 (5%) in the TL control/thigh length group. Substantial heterogeneity was observed amongst trials. KL stockings had a significant effect to reduce the incidence of DVT in long haul flight passengers, odds ration 0.08 (95%CI 0.03-0.22). In hospitalised patients KL stockings did not appear to be far worse than TL stockings, odds ratio 1.01 (95%Cl 0.35-2.90). For combined passengers and patients, there was a benefit in favour of KL stockings, weighted odds ratio 0.45 (95% CI 0.30-0.68).Conclusion. KL graduated stockings can be as effective as TL stockings for the prevention of DVT, whilst offering advantages in terms of patient compliance and cost.

Type: Article
Title: Knee versus thigh length graduated compression stockings for prevention of deep venous thrombosis: A systematic review
Location: Bournemouth, ENGLAND
DOI: 10.1016/j.ejvs.2006.06.021
Keywords: DVT, deep vein thrombosis, GCS, graduated compression stockings, LONG-HAUL FLIGHTS, VEIN THROMBOSIS, ELASTIC STOCKINGS, RANDOMIZED-TRIAL, BELOW-KNEE, EXTERNAL COMPRESSION, AIR-TRAVEL, THROMBOEMBOLISM, SURGERY, STASIS
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: http://discovery.ucl.ac.uk/id/eprint/120297
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