Respiratory Synchronized Versus Intermittent Pneumatic Compression in Prevention of Venous Thromboembolism After Total Joint Arthroplasty: A Systematic Review and Meta-Analysis.

Abstract

The objective of this study was to evaluate the efficacy of respiratory synchronized compression devices (RSCDs) versus nonsynchronized intermittent pneumatic compression devices (NSIPCDs) in preventing venous thromboembolism (VTE) after total joint arthroplasty. A systematic literature review was conducted. Data regarding surgical procedure, deep vein thrombosis, pulmonary embolism, mortality, and adverse events were abstracted. Compared with control groups, the risk ratio of deep vein thrombosis development was 0.51 with NSIPCDs and 0.47 with RSCDs. This review demonstrates that RSCDs may be marginally more effective at preventing VTE events than NSIPCDs. Furthermore, the addition of mechanical prophylaxis to any chemoprophylactic regimen increases VTE prevention.

• Authors: Ameer M Elbuluk, Kelvin Y Kim, Kevin K Chen, Afshin A Anoushiravani, Ran Schwarzkopf, Richard Iorio
• Journal: The Orthopedic clinics of North America (Orthop Clin North Am) Vol. 49 Issue 2 Pg. 123-133 (Apr 2018) ISSN: 1558-1373 [Electronic] United States
• PMID: 29499814 (Publication Type: Comparative Study, Journal Article, Meta-Analysis, Review, Systematic Review)
• Copyright: Copyright © 2017 Elsevier Inc. All rights reserved.

Chemical References

• Fibrinolytic Agents

Topics

• Arthroplasty, Replacement (adverse effects, methods)
• Female
• Fibrinolytic Agents (therapeutic use)
• Humans
• Intermittent Pneumatic Compression Devices
• Male
• Observational Studies as Topic
• Primary Prevention (methods)
• Prognosis
• Pulmonary Embolism (etiology, prevention & control)
• Randomized Controlled Trials as Topic
• Risk Assessment
• Treatment Outcome
• United States
• Venous Thromboembolism (etiology, prevention & control)
• Venous Thrombosis (etiology, prevention & control)