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Therapeutics
Review: elastic compression stockings prevent post-thrombotic syndrome in patients with deep venous thrombosis

https://doi.org/10.1136/ebm.9.4.109

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    Kolbach DN, Sandbrink MW, Hamulyak K, et al. Non-pharmaceutical measures for prevention of post-thrombotic syndrome. Cochrane Database Syst Rev 2004;(1):CD004174.

    
 
 Q In patients with deep venous thrombosis (DVT), are non-pharmaceutical interventions effective and safe for preventing post-thrombotic syndrome (PTS)?

    Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ IM/Ambulatory care ★★★★★★☆ Internal medicine ★★★★★★☆ Geriatrics ★★★★★★☆ Haematology ★★★★★☆☆

    METHODS:

    Embedded ImageData sources:

    Cochrane Peripheral Vascular Diseases Specialised Trials Register (January 2003) (contains trials from MEDLINE and EMBASE/Excerpta Medica), the Cochrane Central Register of Controlled Trials (2002), hand searches of Scripta Phlebologica (1993–2000) and J Thromb Haemost (2003), conference proceedings, reference lists, and experts in the field.

    Embedded ImageStudy selection and assessment:

    randomised controlled trials (RCTs) or controlled clinical trials that compared medical elastic stockings (pressure 20–30 mm Hg or 30–40 mm Hg at the ankle) and compression bandages with bed rest, no intervention, or placebo stockings. Studies were assessed for validity and methods using a standard checklist.

    Embedded ImageOutcomes:

    occurrence …

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    Footnotes

    • For correspondence: Dr D N Kolbach, Academic Hospital Maastricht, Maastricht, The Netherlands. dkolhome.nl

    • Source of funding: Chief Scientist Office, Health Department, the Scottish Executive UK.

    • Abstract and commentary also appear in ACP Journal Club.