Related Experiment Videos
Compliance with sequential compression device prophylaxis in at-risk trauma patients: a prospective analysis
Edward E Cornwell1, David Chang, George Velmahos
1Department of Surgery, The Johns Hopkins Hospital, Baltimore, Maryland 21287-5675, USA.
The American Surgeon
|May 23, 2002
Summary
Sequential Compression Device (SCD) use for deep venous thrombosis (DVT) prevention in trauma patients shows low compliance. In nearly half of observations, SCDs were not used as ordered, highlighting a need for improved protocols and staff education.
Area of Science:
- Trauma Surgery
- Vascular Surgery
- Patient Safety
Background:
- Deep venous thrombosis (DVT) is a significant risk for nonambulatory trauma patients.
- Sequential Compression Devices (SCDs) are a primary prophylaxis method.
- Compliance with SCD orders is crucial for DVT prevention.
Purpose of the Study:
- To assess physician order compliance for SCD prophylaxis in nonambulatory trauma patients.
- To identify factors influencing SCD compliance.
- To determine the frequency of proper SCD application.
Main Methods:
- Prospective observational study at two Level I trauma centers.
- Observation of nonambulatory trauma patients in non-critical care settings.
- Six observations per patient over 24 hours to assess SCD application and function.
Main Results:
- Only 19% of 227 patients achieved full compliance (SCD on and functioning in all 6 observations).
- SCDs were on and functioning in 53% of 1343 total observations.
- Nearly half of observations showed non-adherence to SCD prophylaxis orders.
Conclusions:
- Low compliance with SCD orders in trauma patients necessitates improved staff education.
- Additional prophylactic measures may be required for at-risk patients.
- Spinal column injury was the only factor correlated with increased SCD compliance.