Key result
Intermittent pneumatic compression significantly reduced the incidence of symptomatic deep vein thrombosis to 0.1% compared to 0.8% in a historical control group without prophylaxis after primary total hip arthroplasty.
Why the study?
Does intermittent pneumatic compression reduce the incidence of symptomatic DVT and PE in Korean patients undergoing total hip arthroplasty?
Cohort (n=741)
No
Does intermittent pneumatic compression reduce the incidence of symptomatic DVT and PE in Korean patients undergoing total hip arthroplasty?
Intermittent pneumatic compression is a safe and effective mechanical prophylaxis that significantly reduces symptomatic DVT after primary total hip arthroplasty in Korean patients without the need for anticoagulants.
Intermittent Pneumatic Compression (IPC) device has been used to prevent venous thromboembolism (VTE). This study investigated the effectiveness of IPC device. We evaluated incidences of deep vein thrombosis (DVT) and pulmonary embolism (PE) in total hip arthroplasty (THA) patients after use of IPC device, and compared with historical incidences from our institution. We applied IPC device in 741 patients who underwent 870 elective primary THAs from January 2010 to December 2013, DVT was detected in 3 patients (0.3%) by sonography, and one (0.1%) of them was symptomatic. Symptomatic PE occurred in 1 patient (0.1%) and there were no cases of fatal PE. The incidence of symptomatic DVT was significantly lower than the historical control (P = 0.042). The IPC is a safe and effective prophylaxis of VTE after primary THA in Korea.
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Jo et al. (2016) conducted a cohort in Total Hip Arthroplasty (n=741). Intermittent Pneumatic Compression vs. Historical control (no prophylaxis) was evaluated on Symptomatic deep vein thrombosis (DVT) (p=0.042). Intermittent pneumatic compression significantly reduced the incidence of symptomatic deep vein thrombosis to 0.1% compared to 0.8% in a historical control group without prophylaxis after primary total hip arthroplasty.
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