Combination of graduated compression stockings and intermittent pneumatic compression is better in preventing deep venous thrombosis than graduated compression stockings alone for patients following gynecological surgery: a meta-analysis.

Compression stockings Deep venous thrombosis Intermittent pneumatic compression device

Journal

Thrombosis journal
ISSN: 1477-9560
Titre abrégé: Thromb J
Pays: England
ID NLM: 101170542

Informations de publication

Date de publication:
12 Jul 2024
Historique:
received: 19 03 2024
accepted: 05 07 2024
medline: 13 7 2024
pubmed: 13 7 2024
entrez: 12 7 2024
Statut: epublish

Résumé

Deep vein thrombosis (DVT) is common in patients undergoing gynecological surgery. We aimed to investigate the preventive efficacy in DVT of graduated compression stockings (GCS) alone and in combination with intermittent pneumatic compression (GCS + IPC) after gynecological surgery. In November 2022, studies on the use of GCS and GCS + IPC for the prevention of DVT after gynecological surgery were searched in seven databases. After literature screening and data extraction based on specific inclusion and exclusion criteria, preventive efficacies, including the risk of DVT and anticoagulation function, of GCS and GCS + IPC were compared. Finally, sensitivity analysis and Egger's test were performed to evaluate the stability of the meta-analysis. Six publications with moderate quality were included in this meta-analysis. The results showed that GCS + IPC significantly reduced DVT risk (P = 0.0002) and D-dimer levels (P = 0.0005) compared with GCS alone. Sensitivity analysis and Egger's test showed that the combined results of this study were stable and reliable. Compared with GCS alone, GCS + IPS showed a higher preventive efficacy against DVT in patients following gynecological surgery.

Sections du résumé

BACKGROUND BACKGROUND
Deep vein thrombosis (DVT) is common in patients undergoing gynecological surgery. We aimed to investigate the preventive efficacy in DVT of graduated compression stockings (GCS) alone and in combination with intermittent pneumatic compression (GCS + IPC) after gynecological surgery.
METHODS METHODS
In November 2022, studies on the use of GCS and GCS + IPC for the prevention of DVT after gynecological surgery were searched in seven databases. After literature screening and data extraction based on specific inclusion and exclusion criteria, preventive efficacies, including the risk of DVT and anticoagulation function, of GCS and GCS + IPC were compared. Finally, sensitivity analysis and Egger's test were performed to evaluate the stability of the meta-analysis.
RESULTS RESULTS
Six publications with moderate quality were included in this meta-analysis. The results showed that GCS + IPC significantly reduced DVT risk (P = 0.0002) and D-dimer levels (P = 0.0005) compared with GCS alone. Sensitivity analysis and Egger's test showed that the combined results of this study were stable and reliable.
CONCLUSIONS CONCLUSIONS
Compared with GCS alone, GCS + IPS showed a higher preventive efficacy against DVT in patients following gynecological surgery.

Identifiants

DOI: 10.1186/s12959-024-00636-1 PMID: 38997730
pubmed: 38997730
doi: 10.1186/s12959-024-00636-1
pii: 10.1186/s12959-024-00636-1
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

63

Informations de copyright

© 2024. The Author(s).

Références

Duffett L. Deep venous thrombosis. Ann Intern Med. 2022;175:Itc129–44.
doi: 10.7326/AITC202209200 pubmed: 36095313
Rausa E, Kelly ME, Asti E, Aiolfi A, Bonitta G, Winter DC, Bonavina L. Extended versus conventional thromboprophylaxis after major abdominal and pelvic surgery: systematic review and meta-analysis of randomized clinical trials. Surgery. 2018;164:1234–40.
doi: 10.1016/j.surg.2018.05.028 pubmed: 30190110
Yu R, Nansubuga F, Yang J, Ding W, Li K, Weng D, Wu P, Chen G, Ma D, Wei J. Efficiency and safety evaluation of prophylaxes for venous thrombosis after gynecological surgery. Med (Baltim). 2020;99:e20928.
doi: 10.1097/MD.0000000000020928
Gao J, Zhang ZY, Li Z, Liu CD, Zhan YX, Qiao BL, Sang CQ, Guo SL, Wang SZ, Jiang Y, Zhao N. Two mechanical methods for thromboembolism prophylaxis after gynaecological pelvic surgery: a prospective, randomised study. Chin Med J (Engl). 2012;125:4259–63.
pubmed: 23217397
Liu J, Sang C, Zhang Z, Jiang Y, Wang S, Li Y, Shi X. Correlation between serum factor VIII:C levels and deep vein thrombosis following gynecological surgery. Bioengineered. 2021;12:9668–77.
doi: 10.1080/21655979.2021.1981755 pubmed: 34845975 pmcid: 8809902
Wand L, Song JH, Li B. Research and analysis on prevention methods of lower extremity deep vein thrombosis after gynecological pelvic operation. Maternal Child Health Care China. 2017;32:442–6.
Sachdeva A, Dalton M, Lees T. Graduated compression stockings for prevention of deep vein thrombosis. Cochrane Database Syst Rev. 2018;11:Cd001484.
pubmed: 30390397
Barber EL, Clarke-Pearson DL. Prevention of venous thromboembolism in gynecologic oncology surgery. Gynecol Oncol. 2017;144:420–7.
doi: 10.1016/j.ygyno.2016.11.036 pubmed: 27890280
Al-Dorzi HM, Al-Dawood A, Al-Hameed FM, Burns KEA, Mehta S, Jose J, Alsolamy S, Abdukahil SAI, Afesh LY, Alshahrani MS, et al. The effect of intermittent pneumatic compression on deep-vein thrombosis and ventilation-free days in critically ill patients with heart failure. Sci Rep. 2022;12:8519.
doi: 10.1038/s41598-022-12336-9 pubmed: 35595804 pmcid: 9122920
Lee YH. An overview of meta-analysis for clinicians. Korean J Intern Med. 2018;33:277–83.
doi: 10.3904/kjim.2016.195 pubmed: 29277096
Collaboration C. Cochrane handbook for systematic reviews of interventions. Cochrane Collaboration; 2008.
Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327:557–60.
doi: 10.1136/bmj.327.7414.557 pubmed: 12958120 pmcid: 192859
Tobias A. Assessing the influence of a single study in the meta-analysis estimate. Stata Tech Bull. 1999;47:15–7.
Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629–34.
doi: 10.1136/bmj.315.7109.629 pubmed: 9310563 pmcid: 2127453
Sang CQ, Zhao N, Zhang J, Wang SZ, Guo SL, Li SH, Jiang Y, Li B, Wang JL, Song L, et al. Different combination strategies for prophylaxis of venous thromboembolism in patients: a prospective multicenter randomized controlled study. Sci Rep. 2018;8:8277.
doi: 10.1038/s41598-018-25274-2 pubmed: 29844423 pmcid: 5974317
Li XJ, Zhou Q. The preventive effect of antithrombotic pump on lower extremity deep venous thrombosis in patients with high risk factors during gynecological perioperative period. Military Med J Southeast China. 2014;16:314–6.
Lin XL, Zhu JY, Liu Y, He DD. ES plus IPC treatment in the prevention of postoperative deep vein thrombosis after operation about malignant tumor in gynecology. Chin J Mod Nurs 2010:2986–9.
Xu H, Chen BZ, Zhou DM, Li P, Zheng YQ, Lu XY, Ma HQ. Clinical effect of combined use of pressure elastic socks and low molecular weight heparin sodium in the prevention of deep venous thrombosis of lower extremities in surgical patients. Jiangsu Med J. 2020;46:257–9.
Qu H, Li Z, Zhai Z, Liu C, Wang S, Guo S, Zhang Z. Predicting of venous thromboembolism for patients undergoing gynecological surgery. Med (Baltim). 2015;94:e1653.
doi: 10.1097/MD.0000000000001653
Tian Q, Li M. Risk factors of deep vein thrombosis of lower extremity in patients undergone gynecological laparoscopic surgery: what should we care. BMC Womens Health. 2021;21:130.
doi: 10.1186/s12905-021-01276-7 pubmed: 33771148 pmcid: 8004430
Sachdeva A, Dalton M, Amaragiri SV, Lees T. Graduated compression stockings for prevention of deep vein thrombosis. Cochrane Database Syst Rev 2014:Cd001484.
Clarke-Pearson DL, Synan IS, Dodge R, Soper JT, Berchuck A, Coleman RE. A randomized trial of low-dose heparin and intermittent pneumatic calf compression for the prevention of deep venous thrombosis after gynecologic oncology surgery. Am J Obstet Gynecol. 1993;168:1146–53. discussion 1153 – 1144.
doi: 10.1016/0002-9378(93)90360-U pubmed: 8475960
Ginzburg E, Cohn SM, Lopez J, Jackowski J, Brown M, Hameed SM. Randomized clinical trial of intermittent pneumatic compression and low molecular weight heparin in trauma. Br J Surg. 2003;90:1338–44.
doi: 10.1002/bjs.4309 pubmed: 14598411
Weitz JI, Fredenburgh JC, Eikelboom JW. A test in Context: D-Dimer. J Am Coll Cardiol. 2017;70:2411–20.
doi: 10.1016/j.jacc.2017.09.024 pubmed: 29096812
Lutsey PL, Zakai NA. Epidemiology and prevention of venous thromboembolism. Nat Rev Cardiol. 2023;20:248–62.
doi: 10.1038/s41569-022-00787-6 pubmed: 36258120
Wendelboe AM, Campbell J, Ding K, Bratzler DW, Beckman MG, Reyes NL, Raskob GE. Incidence of venous thromboembolism in a racially diverse Population of Oklahoma County, Oklahoma. Thromb Haemost. 2021;121:816–25.
doi: 10.1055/s-0040-1722189 pubmed: 33423245 pmcid: 8180377
Li Q, Xue Y, Peng Y, Li L. Analysis of risk factors for deep venous thrombosis in patients with gynecological malignant tumor: a clinical study. Pak J Med Sci. 2019;35:195–9.
doi: 10.12669/pjms.35.1.365 pubmed: 30881422 pmcid: 6408657
Frere C, Debourdeau P, Hij A, Cajfinger F, Nonan MN, Panicot-Dubois L, Dubois C, Farge D. Therapy for cancer-related thromboembolism. Semin Oncol. 2014;41:319–38.
doi: 10.1053/j.seminoncol.2014.04.005 pubmed: 25023348

Auteurs

Limei Lu (L)

Department of Gynaecology, Huzhou Maternity & Child Health Care Hospital, Huzhou, 313000, Zhejiang, China.

Ya Shen (Y)

Nursing Department, Huzhou Maternity & Child Health Care Hospital, No 2 East Road, Wuxing District, Huzhou, 313000, Zhejiang, China. shenya1123@163.com.

Yuping Pan (Y)

Health Education Division, Huzhou Maternity & Child Health Care Hospital, Huzhou, 313000, Zhejiang, China.

Classifications MeSH