Efficacy of intermittent pneumatic compression for venous thromboembolism prophylaxis in patients undergoing gynecologic surgery: A systematic review and meta-analysis
| Autor: | Ze-Juan Gu, Yu-Ting Xiong, Li-Jie Yan, Jing-Yun Wang, Zi-Qi Fan, Jian-Ping Feng |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
pulmonary embolism medicine.drug_class Deep vein Low molecular weight heparin Intermittent pneumatic compression 030204 cardiovascular system & hematology heparin Lower risk deep vein thrombosis 03 medical and health sciences 0302 clinical medicine gynecologic surgery Gynecologic Surgical Procedures parasitic diseases Medicine Humans cardiovascular diseases Intermittent Pneumatic Compression Devices 030219 obstetrics & reproductive medicine business.industry Venous Thromboembolism medicine.disease Thrombosis Pulmonary embolism Surgery medicine.anatomical_structure Oncology Relative risk Chemoprophylaxis intermittent pneumatic compression Female Clinical Research Paper business |
| Zdroj: | Oncotarget |
| ISSN: | 1949-2553 |
| Popis: | // Jian-Ping Feng 1 , Yu-Ting Xiong 2 , Zi-Qi Fan 1 , Li-Jie Yan 1 , Jing-Yun Wang 1 , Ze-Juan Gu 3 1 Department of Anesthesiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China 2 Department of Nursing, The Second Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China 3 Department of Nursing, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China Correspondence to: Ze-Juan Gu, email: jassicagu@163.com Keywords: gynecologic surgery, pulmonary embolism, deep vein thrombosis, intermittent pneumatic compression, heparin Received: August 08, 2016 Accepted: November 07, 2016 Published: November 25, 2016 ABSTRACT We sought to comprehensively assess the efficacy of Intermittent Pneumatic Compression (IPC) in patients undergoing gynecologic surgery. A computerized literature search was conducted in Pubmed, Embase and Cochrane Library databases. Seven randomized controlled trials involving 1001 participants were included. Compared with control, IPC significantly lowered the deep vein thrombosis (DVT) risk [risk ratio (RR) = 0.33, 95% confidence interval (CI): 0.16 – 0.66]. The incidence of DVT in IPC and drugs group was similar (4.5% versus. 3.99%, RR = 1.19, 95% CI: 0.42 – 3.44). With regards to pulmonary embolism risk, no significant difference was observed in IPC versus control or IPC versus drugs. IPC had a lower postoperative transfusion rate than heparin (RR = 0.53, 95% CI: 0.32 – 0.89), but had a similar transfusion rate in operating room to low molecular weight heparin (RR = 1.06, 95% CI: 0.69 – 1.63). Combined use of IPC and graduated compression stockings (GCS) had a marginally lower risk of DVT than GCS alone (RR = 0.38, 95% CI: 0.14 – 1.03). In summary, IPC is effective in reducing DVT complications in gynecologic surgery. IPC is neither superior nor inferior to pharmacological thromboprophylaxis. However, whether combination of IPC and chemoprophylaxis is more effective than IPC or chemoprophylaxis alone remains unknown in this patient population. |
| Databáze: | OpenAIRE |
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