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Randomized controlled trial on occupational graduated compression clinical and cost-effectiveness
Sergio Gianesini1,2,3, Emidia Vagnoni4, Caterina Cavicchi4
1Department of Translational Medicine, University of Ferrara, Ferrara, Italy - gnssrg@unife.it.
Summary
Graduated compression stockings (GCS) effectively reduced leg swelling and improved quality of life for workers with prolonged standing. This intervention also proved cost-effective, offering significant savings.
Area of Science:
- Occupational Health
- Vascular Medicine
- Health Economics
Background:
- Occupational standing increases risk of chronic venous disease.
- Graduated compression stockings (GCS) mitigate venous hypertension.
- This study evaluates GCS for prolonged standing workers.
Purpose of the Study:
- Assess clinical effectiveness of GCS in prolonged standing.
- Evaluate cost-effectiveness of GCS for occupational standing.
- Investigate GCS impact on venous health and quality of life.
Main Methods:
- Randomized controlled trial with 75 healthcare professionals.
- Comparison of GCS use versus no GCS during 6-hour standing shifts.
- Measurements included leg volume, air plethysmography, quality of life, and cost-effectiveness.
Main Results:
- GCS significantly reduced leg volume and improved venous filling index post-shift.
- Quality of life scores improved with GCS use over 12 months.
- GCS use resulted in an annual cost saving of 1510 euro per participant.
Conclusions:
- GCS effectively counteract occupational edema and improve venous function.
- GCS enhance vein-specific quality of life in standing workers.
- GCS demonstrate significant cost savings in occupational settings.
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