<p>Graduated compression stockings in prevention of venous thromboembolism among acutely ill medical patients aged over 75 years: a French national survey</p>

• DOI: 10.2147/cia.s197603
• Publication Date: 2019-06-25T07:52:56Z
• Authors: Baptiste Gramont; Émilie Chalayer; Angélique Savall; Martin Killian; Thomas Celarier; Bernard Tardy
• Keywords: Male; venous thromboembolism; mechanical prophylaxis; graduated compression stockings; 03 medical and health sciences; 0302 clinical medicine; Risk Factors; Surveys and Questionnaires; Humans; Practice Patterns, Physicians'; Original Research; Aged; Aged, 80 and over; geriatrics; Evidence-Based Medicine; RC952-954.6; Geriatricians; Venous Thromboembolism; 3. Good health; Geriatrics; Clinical Interventions in Aging; Female; France; Stockings, Compression

Background: The thromboprophylactic efficacy of graduated compression stockings (GCS) has not yet been demonstrated in acutely ill medical patients, and guidelines vary considerably. Older patients appear to constitute a distinctive population presenting high risks both thrombosis bleeding. Objective: To evaluate the practices beliefs panel French geriatricians regarding GCS management aged over 75 years. Methods: A survey was designed study geriatric practice concerning use for thromboprophylaxis. Results: total 111 answered questionnaire. Among responders, 46% declared frequent or very prescription preventing venous thromboembolism (VTE) ill, hospitalized 54% declaring that they frequently re-evaluated during patient's hospitalization. main reason reported discontinuing patient request. Regarding complications GCS, 87% responders having already noted adverse effects with although 80% estimated risk be low low. In context considered, wearing believed 73% responders. judged accordance evidence-based medicine 69%. Conclusion: There is gap between prevent VTE older an acute illness availability data their efficacy, safety, by nurses. Prospective trials including clinical cost effectiveness are needed.