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Intermittent pneumatic compression for venous thromboembolism prevention: a systematic review on factors affecting
Richard Greenall1, Rachel E Davis2
1Executive Offices, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust, Farnborough, UK writetorichg@gmail.com.
BMJ Open
|September 5, 2020
Summary
Patient adherence to intermittent pneumatic compression (IPC) devices to prevent venous thromboembolism (VTE) is often inadequate. Factors like patient comfort and healthcare provider knowledge significantly impact IPC use in hospitals.
Area of Science:
- Medical Devices
- Clinical Interventions
- Patient Safety
Background:
- Venous thromboembolism (VTE) is a serious risk for hospitalized patients.
- Intermittent pneumatic compression (IPC) is a common prophylaxis method for VTE.
- Current adherence rates to IPC are suboptimal, with unclear contributing factors.
Purpose of the Study:
- To systematically review factors influencing patient adherence to IPC devices during inpatient care.
- To identify key barriers and facilitators for effective IPC implementation in hospitals.
Main Methods:
- A systematic literature search was conducted across EMBASE, MEDLINE, and PsycINFO (1960-2019).
- Studies focusing on inpatient settings and factors affecting IPC adherence were included.
- Twenty studies were selected from 1476 initial records for analysis.
Main Results:
- Eight factors impacting IPC adherence were identified.
- Key factors include patient discomfort, healthcare professional knowledge and behaviors, and patient mobility.
- Other identified factors involve equipment availability, guideline use, intensive care settings, and prescribing methods.
Conclusions:
- Several factors influence adherence to IPC, although the evidence base is limited.
- Findings highlight the need for further research and quality improvement initiatives to enhance IPC adherence.
- Addressing identified factors can improve VTE prevention strategies in hospitalized patients.
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