Identifying Barriers to Sequential Compression Device Compliance at a Rural Level 1 Trauma Center.

Area of Science:

• Trauma Care
• Vascular Surgery
• Medical Devices

Background:

• Hospitalized trauma patients face elevated risks of venous thromboembolism (VTE).
• Sequential compression devices (SCDs) are a primary mechanical prophylaxis for VTE.
• Suboptimal compliance with SCDs necessitates investigation into utilization barriers.

Purpose of the Study:

• To assess the frequency of SCD usage among hospitalized trauma patients.
• To identify barriers affecting the utilization of SCDs.
• To compare SCD utilization between intensive care units (ICUs) and other units.

Main Methods:

• Prospective cohort study involving 119 trauma patients at a Level 1 Trauma Center.
• Observation for three days or until discharge, with investigator-provided SCD education on day 1.
• Tracking of SCD utilization and barriers.

Main Results:

• SCD usage was significantly higher in the ICU (77.5%-100%) compared to PCU/Med Surg units (42.0%-45.3%).
• Initial non-adherence was linked to equipment malfunction/absence, shifting to underutilization of functional SCDs.
• Patients not receiving chemical prophylaxis showed higher odds of SCD use.

Conclusions:

• Equipment availability, staff training, and patient education are crucial for enhancing SCD prophylaxis.
• Non-ICU settings require targeted interventions to address equipment and monitoring challenges impacting SCD utilization.
• Improving SCD compliance is essential for effective VTE prevention in trauma patients.