Article Text

PDF

Elastic compression stockings and the risk of post-thrombotic syndrome in patients with symptomatic proximal vein thrombosis
  1. Beverley Lane,
  2. Steve Jones
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL

    Statistics from Altmetric.com

    Report by Beverley Lane, Research Nurse Search checked by Steve Jones, Research Fellow

    Clinical scenario

    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.

    Three part question

    In [patients with confirmed deep vein thrombosis] does [the use of compression stockings] reduce [the risk of post-thrombotic syndrome]?

    Search strategy

    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.

    Search outcome

    Altogether 19 papers were found of which 18 were irrelevant or of insufficient quality for inclusion. The remaining paper is shown in table 5.

    Table 5

    Comments

    The incidence of PTS following confirmed DVT is unknown but it has been reported to be between 20% and 100%. This wide range probably reflects the small size of these retrospective studies with different periods of follow up and selection criteria. Interpretation of the findings from these studies is also hampered by the lack of objective diagnostic criteria for PTS.

    Clinical bottom line

    Elastic compression stockings should be used within two weeks of onset of acute thrombotic event and worn for up to two years.

    Report by Beverley Lane, Research Nurse Search checked by Steve Jones, Research Fellow

    References

    View Abstract

    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.