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A prospective evaluation of standard versus battery-powered sequential compression devices in postsurgical patients
Andrea T Obi1, Rafael Alvarez1, Bradley N Reames1
1Section of Vascular Surgery, Department of Surgery, University of Michigan Medical School, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA.
Background:
Sequential compression devices (SCDs) reduce deep venous thrombosis in postsurgical patients, but the use is hindered by poor compliance.
Methods:
General and orthopedic surgery patients (n = 67) were randomized to standard- or battery-powered SCDs. Compliance was documented hourly. Nurses and patients were issued a survey to assess barriers to compliance and device satisfaction.
Results:
Compliance with standard SCDs was 47% compared with 85% with battery-powered SCDs (P < .001). The most common barriers identified by nurses and patients were ambulation and transfers, which were mitigated with the battery-powered device. A majority (79%) of those issued a battery-powered device reported no major problems compared with only 14% of patients issued a standard device (P < .005).
Conclusions:
The dual venous thromboembolism prevention strategies of early mobilization and SCD utilization can be met with the appropriate equipment.
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