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September 1, 1993Angiology

Prophylaxis of Recurrent Deep Venous Thrombosis. A Randomized, Prospective Study Using Indobufen and Graduated Elastic Compression Stockings

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Key result

Indobufen plus compression stockings cuts recurrent DVT by ~95% versus control.

  • n=224

Why the study?

Does prophylaxis with indobufen, graduated elastic compression stockings, or their combination prevent recurrent deep venous thrombosis in patients after an episode of DVT?

Population

224 patients after an episode of deep venous thrombosis (DVT)

Comparison

Indobufen, graduated elastic compression… vs Control group (no specific prophylaxis mentioned)

Design

RCT, Randomized into four groups

Follow-up

3 years

Authors

GBG BelcaroAzienda USL di PescaraGLG LauroraCasa di cura PierangeliMCM R CesaroneUniversity of Chieti-Pescara

Discussion

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Implication

Supports combined indobufen and compression stockings for post-DVT secondary prevention; confirms substantial recurrent DVT reduction in this RCT.

Study Design

Type

RCT (n=224)

Randomization

randomized

Structured PICO

Does prophylaxis with indobufen, graduated elastic compression stockings, or their combination prevent recurrent deep venous thrombosis in patients after an episode of DVT?

P
Population
224 patients after an episode of deep venous thrombosis, monitored over a three-year period.
I
Intervention
Indobufen (oral antiplatelet agent), graduated elastic compression stockings, or a combination of both
C
Comparator
Control group (no specific prophylaxis mentioned)
O
Outcome
Incidence of recurrent deep venous thrombosis (RDVT) monitored with color duplex scanning repeated every three months over a three-year periodhard clinical

Main Result

Absolute Event Rate: 2.08% vs 46%

Prophylaxis with indobufen, graduated compression stockings, or their combination significantly reduces the incidence of recurrent DVT over 3 years compared to control.

Cite This Study

Belcaro et al. (1993) conducted an RCT in deep venous thrombosis (DVT) (n=224). Indobufen and graduated elastic compression stockings vs. Control was evaluated on recurrent DVT (RDVT). Prophylaxis with a combination of indobufen and graduated elastic compression stockings significantly reduced the incidence of recurrent DVT compared to control (2.08% vs 46%).

synapsesocial.com/papers/6aa6164889092379003a61fchttps://doi.org/10.1177/000331979304400904

Topics

Dual antiplatelet therapy
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The diagnosis of acute, recurrent, deep-vein thrombosis: a diagnostic challenge.1983 · 218 citations
  2. 2Aspirin Prophylaxis of Venous Thromboembolism after Total Hip Replacement1977 · 344 citations
  3. 3In vitro and ex vivo Effects of Indobufen on Human Platelet Aggregation, the Release Reaction and Thromboxane B2 Production2009 · 27 citations
  4. 4Colour coded duplex sonography in suspected deep vein thrombosis of the leg.1990 · 49 citations