© 2000 the Emergency Medicine Journal
Best evidence topic report
Elastic compression stockings and the risk of post-thrombotic syndrome in patients with symptomatic proximal vein thrombosis
Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL
Report by Beverley Lane, Research Nurse Search checked by Steve Jones, Research Fellow
A 35 year old woman attends the emergency department with a swollen and painful left leg. A DVT is suspected and confirmed on ultrasound. You are aware of the possible risks of developing post-thrombotic syndrome and wonder whether this young woman would benefit from the use of compression stockings.
In [patients with confirmed deep vein thrombosis] does [the use of compression stockings] reduce [the risk of post-thrombotic syndrome]?
Medline 1966–07/00 using the OVID interface. {(Exp.thrombosis OR venous thrombosis OR thrombosis.mp) AND (exp.stockings.mp) OR TED stockings.mp OR support stockings.mp OR exp. compression stockings.mp OR graduated compression stockings.mp). LIMIT to english language AND human.
Altogether 19 papers were found of which 18 were irrelevant or of insufficient quality for inclusion. The remaining paper is shown in table 5
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View this table: [in a new window] Table 5 |
The incidence of PTS following confirmed DVT is unknown but it has been reported to be between 20% and 100%. This wide range
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