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. 2006 Feb 11;332(7537):364. doi: 10.1136/bmj.332.7537.364-a

Venous thromboembolism

Stockings are important

Daniel A Shaerf 1
PMCID: PMC1363956  PMID: 16470072

Editor—In two recent articles on venous thromboembolism, only 15 words referred to the use of compression stockings and pneumatic compression devices.1,2 These cheap and completely non-invasive devices should have a more prominent place.

The evidence behind compression stockings and pneumatic device use is well known. Twenty years ago, controlled trial evidence showed the efficacy of graduated compression stockings with low dose heparin.3 More recently, a meta-analysis showed that graduated compression stockings are a useful adjunct to low molecular weight heparins and reduce the incidence of venous thromboembolism in colorectal surgery.4

These devices, which are often used as a direct alternative to heparins, deserve more space, especially when the consequences of bleeding are dire.

Competing interests: None declared.

References

  • 1.Robinson GV. Pulmonary embolism in hospital practice. BMJ 2006;332: 156-60. (21 January.) [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Blann AD, Lip GYH. Venous thromboembolism. BMJ 2006;332: 215-9. (28 January.) [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 3.Fasting H, Andersen K, Kraemmer Nielsen H, Husted SE, Koopmann HD, Simonsen O, et al. Prevention of post-operative deep venous thrombosis. Low-dose heparin versus graded pressure stockings. Acta Chir Scand 1985;151: 245-8. [PubMed] [Google Scholar]
  • 4.Wille-Jorgensen P, Rasmussen MS, Andersen BR, Borly L. Heparins and mechanical methods for thromboprophylaxis in colorectal surgery. Cochrane Database Syst Rev 2003;(4): CD001217. [DOI] [PubMed]

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