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Thigh-Length Versus Below-Knee Stockings for Deep Venous Thrombosis Prophylaxis After Stroke: A Randomized Trial

Ann Intern Med. 2010 Sep 20. [Epub ahead of print]

Thigh-Length Versus Below-Knee Stockings for Deep Venous Thrombosis Prophylaxis After Stroke: A Randomized Trial.

The CLOTS (Clots in Legs Or sTockings after Stroke) Trial Collaboration.

 

University of Edinburgh Western General Hospital, University of Edinburgh Medical School, and Western General Hospital, Edinburgh, United Kingdom; Borders General Hospital, Roxburghshire, United Kingdom.

 

Abstract

Background: Graduated compression stockings are widely used for deep venous thrombosis (DVT) prophylaxis. Although below-knee stockings are used more often than thigh-length stockings, no reliable evidence indicates that they are as effective as thigh-length stockings.

Objective: To compare the effectiveness of thigh-length stockings with that of below-knee stockings for preventing proximal DVT in immobile, hospitalized patients with stroke.

Design: Parallel-group trial with centralized randomization (minimization within centers) to ensure allocation concealment. The ultrasonographers who looked for DVT were blinded, but the patients and caregivers were not. (Controlled-trials.com registration number: ISRCTN28163533).

Setting: 112 hospitals in 9 countries.

 
Elastic compression stockings for prevention of deep vein thrombosis

Publicat pe 14.07.2010 in Cochrane Database Syst Rev. 2010 Jul 7;7:CD001484. Sursa: venosan.com

Sachdeva A, Dalton M, Amaragiri SV, Lees T.
Newcastle Medical School, University of Newcastle upon Tyne, Newcastle upon Tyne, Tyne & Wear, UK, NE1 7RU.

BACKGROUND:
One of the settings where deep vein thrombosis (DVT) in the lower limb and pelvic veins occurs is in hospital with prolonged immobilisation of patients for various surgical and medical illnesses. Using graduated compression stockings (GCS) in these patients has been proposed to decrease the risk of DVT. This is an update of a Cochrane review first published in 2000 and updated in 2003.

OBJECTIVES:
To determine the magnitude of effectiveness of GCS in preventing DVT in various groups of hospitalised patients.

 
Current prescribing patterns of elastic compression stockings

Publicat pe 25.06.2010 in Phlebology, The Royal Society of Medicine. Sursa: venosan.com

Current prescribing patterns of elastic compression stockings post-deep venous thrombosis.
Roche-Nagle G, Ward F, Barry M.
Department of Vascular and Endovascular Surgery, St Vincent's University Hospital, Dublin 4, Ireland. Această adresă de e-mail este protejată de spamboţi; aveţi nevoie de activarea JavaScript-ului pentru a o vizualiza


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.

 
Is the wearing of elastic stockings for half a day as effective as wearing them for the entire day?

Publicat in 26.05.2010. Sursa: venosan.com

From: Br J Dermatol. 2010 Jan;162(1):42-5. Epub 2009 Jul 6.
Belczak CE, de Godoy JM, Ramos RN, de Oliveira MA, Belczak SQ, Caffaro RA.
Santa Casa School of Medical Sciences, Sao Paulo, Brazil.

Background: There is good evidence for the use of compression for some clinical indications but little is known about dosimetry in compression.

Objective: The aim of this work was to evaluate whether or not the use of compression stockings during part of the day would help in the reduction of evening oedema in patients with clinical, epidemiological, anatomical and physiopathological (CEAP) classifications C0 and C1.

 


Spalarea si ingrijirirea ciorapilor compresivi. Sfaturi utile

ciorapi-medicinali-spalareSpalarea regulata nu va dauna ciorapilor compresivi.

  • Puteti spala ciorapii medicinali VENOSAN®/VENOFIT®  in masina de spalat la orice temperatura sub 40°C si sa ii tratati la fel ca pe orice lenjerie de corp din fibre sintetice.
  • Puteti reduce timpul de uscare a ciorapilor compresvi prin punerea lor intr-un prosop uscat si stoarcerea excesului de umezeala.
  • Nu uscati ciorapii compresivi pe radiator sau direct sub razele soarelui.
  • Nu utilizati balsam de rufe, substante de inalbire sau pentru indepartarea petelor (cum ar fi terebentina).
  • Curatati benzile de silicon cu alcool in mod regulat, pentru a imbunatati aderenta ciorapului pe picior.
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