Graduated elastic compression stockings in the prevention of post-thrombotic syndrome: A systematic review and meta-analysis

被引：1

作者：

Nielsen, Jorn Dalsgaard ^{[1
,2
]}

Hermann, Thomas Steffen ^{[1
]}

Fredskilde, Pernille Cecilie Ammundsen ^{[1
]}

机构：

[1] Bispebjerg & Frederiksberg Univ Hosp, Ctr Excellence Anticoagulant Treatment, Copenhagen, Denmark

[2] Bispebjerg & Frederiksberg Hosp, Ctr Excellence Anticoagulant Treatment, Nordre Fasanvej 57, DK-2000 Frederiksberg, Denmark

来源：

PHLEBOLOGY | 2024年 / 39卷 / 04期

关键词：

Deep venous thrombosis; elastic compression stockings; post-thrombotic syndrome; DEEP VENOUS THROMBOSIS; VEIN-THROMBOSIS; MANAGEMENT; EFFICACY; SEQUELAE; LONG;

D O I：

10.1177/02683555231225268

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: The effect of graduated elastic compression stockings (ECS) in the prevention of post-thrombotic syndrome (PTS) has been questioned since a large randomized trial found no prophylactic effect of ECS. Objective: To assess the effect of the wearing time of ECS on the incidence of post-thrombotic syndrome (PTS) after proximal deep venous thrombosis, we performed a meta-analysis of the incidence of PTS across randomized and observational studies. Method: PubMed, Embase and Cochrane databases were searched until 12 June 2023 for studies on the effect of ECS on PTS. References of eligible studies were also screened in order to identify other potential studies that might have been missed during the search. Results: Four studies comprising a total of 1467 patients met our inclusion criteria for early initiation and consistent use of ECS in patients with acute proximal DVT. ECS significantly reduced the incidence of mild-moderate PTS (OR: 0.48; 95% CI: 0.36-0.63) as well as severe PTS (OR: 0.44; 95% CI: 0.28-0.58).

引用

页码：229 / 237

页数：9