2,805 results match your criteria compression stockings

Top 2020 studies relevant to primary care: From the PEER team.

Can Fam Physician 2021 Apr;67(4):255-259

Director of Programs and Practice Support at the CFPC.

Objective: To summarize high-quality studies for 10 topics from 2020 that have strong relevance to primary care practice.

Selecting The Evidence: Study selection involved routine literature surveillance by a group of primary health care professionals. This included screening abstracts of high-impact journals and EvidenceAlerts, as well as searching the American College of Physicians Journal Club. Read More

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Compression hosiery to avoid post-thrombotic syndrome (CHAPS) protocol for a randomised controlled trial (ISRCTN73041168).

BMJ Open 2021 Apr 12;11(4):e044285. Epub 2021 Apr 12.

Academic Section of Vascular Surgery, Imperial College London, London, UK.

Introduction: Up to 50% of patients develop post-thrombotic syndrome (PTS) after an above knee deep vein thrombosis (DVT). The aim of the study was to determine the effect of graduated compression stockings in preventing PTS after DVT.

Methods And Analysis: Pragmatic, UK multicentre randomised trial in adults with first above knee DVT. Read More

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Vascular Disease Patient Information Page: Compression therapy.

Vasc Med 2021 Apr 8:1358863X211002263. Epub 2021 Apr 8.

Johns Hopkins Center for Vascular Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

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Cardiovascular Considerations in Anesthetic Management for a Patient With Antiphospholipid Syndrome and Decreased Cardiac Function: A Case Study.

Anesth Prog 2021 03;68(1):33-37

Department of Dental Anesthesiology, Faculty of Dental Medicine and Graduate School of Dental Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.

This case report describes the prolonged general anesthetic management of a 41-year-old woman with antiphospholipid syndrome (APS), systemic lupus erythematosus, and previously undiagnosed decreased cardiac function who underwent planned partial resection of the left tongue, tracheostomy, neck dissection, and pedicled flap reconstruction. This was immediately followed by emergent surgery to salvage the flap, and 1 month later, revision of the soft tissue flap was performed. A preoperative echocardiogram was performed because of her various risk factors, which identified lateral wall hypokinesis and reduced left ventricular ejection fraction of 40%, despite no known cardiovascular disease. Read More

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Venous thromboembolism prophylaxis for women at risk during pregnancy and the early postnatal period.

Cochrane Database Syst Rev 2021 03 29;3:CD001689. Epub 2021 Mar 29.

Women and Kids, South Australian Health and Medical Research Institute, Adelaide, Australia.

Background: Venous thromboembolism (VTE), although rare, is a major cause of maternal mortality and morbidity. Some women are at increased risk of VTE during pregnancy and the early postnatal period (e.g. Read More

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Implementation and adherence to a speciality-specific checklist for neurosurgery and its influence on patient safety.

Indian J Anaesth 2021 Feb 10;65(2):108-114. Epub 2021 Feb 10.

Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India.

Background And Aims: Neurosurgery involves a high level of expertise coupled with enduring and long duration of working hours. There is a paucity of published literature about the experience with a speciality-specific checklist in neurosurgery. We conducted a cross-sectional observational study to identify the adherence to various elements of the Modified World Health Organization Surgical Safety Checklist (WHO SSC) for neurosurgery by the operating room (OR) team. Read More

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February 2021

Current practice patterns of society of urologic oncology members in performing inguinal lymph node staging/therapy for penile cancer: A survey study.

Urol Oncol 2021 Mar 25. Epub 2021 Mar 25.

Department of Genitourinary Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.

Objectives: Inguinal lymph node (ILN) staging and therapeutic procedures are important for the diagnosis and management of suspected Inguinal lymph node metastasis in the setting of penile cancer. Morbidity associated with inguinal lymph node dissection (ILND) and the lack of standardization in its perioperative management are both significant. In this study, we aimed to define current management approaches and potential opportunities for improving outcomes. Read More

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Lower extremity compression garments use by athletes: why, how often, and perceived benefit.

BMC Sports Sci Med Rehabil 2021 Mar 24;13(1):31. Epub 2021 Mar 24.

Department of Rehabilitation, Physical Therapy Science & Sport, Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

Background: Studies on the benefits of lower extremity compression garments (CGs) have focused on their effects on post-exercise recovery and performance improvement. Less is known about why athletes actually use CGs, the frequency with which they use them, and perceived benefits from using CGs. The purpose of this study was to investigate which athletes use CGs, why athletes use CGs, when CGs are worn by athletes, and, in case of an injury or injury prevention, for which injuries CGs are used. Read More

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Modified compression therapy in mixed arterial-venous leg ulcers: An integrative review.

Int Wound J 2021 Mar 18. Epub 2021 Mar 18.

FRCS Wound Healing Research Unit, Cardiff University, Cardiff, UK.

Leg ulcers remain an increased burden to healthcare cost and morbidity in modern society. While most leg ulcers are venous in origin, recognition and prompt identification of concomitant arterial occlusive disease is critical to determine underlying aetiology and subsequent management. This integrative review presents the current evidence to establish the role of modified compression therapy (MCT) in treatment of mixed arterial venous leg ulcers (MAVLU). Read More

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[Treatment of chronic hard-to-heal wounds with hyaloronic acid ester: a case series of six patients].

Wien Med Wochenschr 2021 Mar 18. Epub 2021 Mar 18.

Univ.-Klinik für Dermatologie und Venerologie, Medizinische Universität Graz, Auenbruggerplatz 8, 8036, Graz, Österreich.

The treatment of chronic wounds is usually a major challenge for the involved medical staff. Various different treatment options have to be tested achieving a satisfactory result. In this retrospective case report, we describe successful treatments with hyaluronan acid ester fleece in six patients with chronic wounds of different origins. Read More

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Wound cleansing for treating venous leg ulcers.

Cochrane Database Syst Rev 2021 03 10;3:CD011675. Epub 2021 Mar 10.

School of Nursing & Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland.

Background: Leg ulcers are open skin wounds that occur below the knee but above the foot. The majority of leg ulcers are venous in origin, occurring as a result of venous insufficiency, where the flow of blood through the veins is impaired; they commonly arise due to blood clots and varicose veins. Compression therapy, using bandages or stockings, is the primary treatment for venous leg ulcers. Read More

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A Case of Elephantiasis Nostras Verrucosa Secondary to Lymphedema Praecox Complicated by Congestive Cardiac Failure.

Am J Case Rep 2021 Mar 14;22:e930269. Epub 2021 Mar 14.

Department of Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan.

BACKGROUND In lymphedema, an imbalance in the formation and absorption of lymph causes accumulation of protein-rich fluid in the interstitium of the most gravity-dependent parts of the body. Diagnosis is usually made based on patient medical history and a physical examination showing a typical appearance of the affected body part. Differential diagnosis is confirmed by imaging. Read More

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Effect of compression stockings on overnight rostral fluid shift and obstructive sleep apnea: A meta-analysis.

Auris Nasus Larynx 2021 Mar 7. Epub 2021 Mar 7.

Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address:

Objective: The overnight rostral fluid shift from the lower limbs is one of the causes of obstructive sleep apnea (OSA). Compression stockings (CS) prevent lower limb fluid retention and have been reported to decrease nighttime fluid shift. The aim of this study is to evaluate the effect of CS on fluid shift and the severity of OSA. Read More

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Effects of compression stockings on lower-limb venous and arterial system responses to prolonged sitting: A randomized cross-over trial.

Vasc Med 2021 Feb 19:1358863X20988899. Epub 2021 Feb 19.

Department of Exercise and Sports Science, University of North Carolina, Chapel Hill, NC, USA.

Exposure to prolonged sitting increases blood pooling and the risk of lower-extremity vascular arterial and venous complications, including deep vein thrombosis. Compression garment stockings (CGS) may prevent pooling, thereby mitigating the associated vascular complications. Three aims were addressed: (i) does use of CGS help to prevent blood pooling; (ii) does blood pooling correlate with decreased stroke volume; and (iii) does use of CGS preserve leg arterial flow-mediated dilation and reactive hyperemia response. Read More

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February 2021

Influence of Medical Compression Stockings on Skin Hydration in Mainly Health Care Givers with Occupational Leg Symptoms and Edema.

Skin Pharmacol Physiol 2021 18;34(2):57-73. Epub 2021 Feb 18.

Department of Dermatology, Universitätsmedizin Greifswald, Greifswald, Germany.

Background And Objective: Although compression therapy is a very effective therapy in reducing stasis-induced complaints, the wearing comfort is not always as requested. Most frequent problems are dryness of the skin and itching. This randomized, cross-over trial investigated 33 healthy participants and compared 2 different medical compression stockings: conventional stockings (type A = MCS) versus compression stockings with integrated care emulsion (type B = MCS-SkC). Read More

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February 2021

Early vs. late enoxaparin for the prevention of venous thromboembolism in patients with ICH: A double blind placebo controlled multicenter study.

Clin Neurol Neurosurg 2021 Mar 29;202:106534. Epub 2021 Jan 29.

Department of Neurosurgery, Oulu University Hospital, Oulu, Finland. Electronic address:

Backround: Venous thromboembolism (VTE) after primary intracerebral hemorrhage (ICH) worsens patient prognosis. Administering low-molecular weight heparins (LMWH) to prevent VTE early (24 h) may increase the risk of hematoma enlargement, whereas administering late (72 h) after onset may decrease its effect on VTE prevention. The authors investigated when it is safe and effective to start LMWH in ICH patients. Read More

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Prevention of venous thromboembolism in gynecological cancer patients undergoing major abdominopelvic surgery: A systematic review and network meta-analysis.

Gynecol Oncol 2021 Apr 6;161(1):304-313. Epub 2021 Feb 6.

Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI road, Thung Phaya Thai, Ratchathewi District, Bangkok 10400, Thailand.

Objective: Although thromboprophylaxis is recommended to reduce death and disability from venous thromboembolism (VTE), it remains underused due to a perceived risk of bleeding, especially in major abdominopelvic surgical patients.

Methods: We conducted a systematic literature review to identify all eligible randomized controlled trials (RCTs), searching MEDLINE and Scopus databases through November 25, 2020. RCTs published in any language were eligible if they studied in gynecological cancer patients undergoing major abdominopelvic surgery and assessed efficacy of mechanical and pharmacological interventions. Read More

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[Conservative treatment of varicose veins].

Markus Stücker

Hautarzt 2021 Mar;72(3):257-266

Klinik für Dermatologie, Venerologie und Allergologie, Venenzentrum der Dermatologischen und Gefäßchirurgischen Kliniken, St. Josef Hospital, Ruhr-Universität Bochum, Gudrunstr. 56, 44791, Bochum, Deutschland.

The treatment of varicose veins is supposed to eliminate congestive symptoms and edema, heal skin complications and prevent complications. Surgical procedures, endovenous thermal procedures, endovenous chemical procedures and conservative measures are used for treatment. Often the invasive and conservative procedures are combined. Read More

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Infrarenal inferior vena cava agenesis and recurrent deep vein thrombosis: a case report and literature review.

Oxf Med Case Reports 2021 Jan 12;2021(1):omaa104. Epub 2021 Jan 12.

Division of Internal Medicine, Department of Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.

Inferior vena cava agenesis is a rare congenital vascular defect often diagnosed as an incidental finding in asymptomatic patients. When symptoms arise, it can present with chronic venous stasis or unprovoked deep vein thrombosis (DVT). A 42-year-old man with history of unprovoked right lower extremity (RLE) DVTs was admitted for swelling, pain and erythema to the RLE, concerning for new DVT. Read More

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January 2021

Surgical and non-surgical approaches in the management of lower limb post-thrombotic syndrome.

Expert Rev Cardiovasc Ther 2021 Mar 26;19(3):191-200. Epub 2021 Jan 26.

Academic Section of Vascular Surgery, Department of Surgery & Cancer, Imperial College London, London, UK.

: Post-thrombotic syndrome (PTS) is a common lifelong condition affecting up to 50% of those suffering from deep vein thrombosis (DVT). PTS compromises function and quality of life with subsequent venous ulceration in up to 29% of those affected.: A literature review of surgical and non-surgical approaches in the prevention and treatment of PTS was undertaken. Read More

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Feasibility of a Pilot Randomized Controlled Trial Examining a Multidimensional Intervention in Women with Gynecological Cancer at Risk of Lymphedema.

Curr Oncol 2021 Jan 13;28(1):455-470. Epub 2021 Jan 13.

Lymphedema Program, McGill University Health Centre, Montreal, QC H4A 3S5, Canada.

There is limited knowledge on non-invasive lymphedema risk-reduction strategies for women with gynecological cancer. Understanding factors influencing the feasibility of randomized controlled trials (RCTs) can guide future research. Our objectives are to report on the design and feasibility of a pilot RCT examining a tailored multidimensional intervention in women treated for gynecological cancer at risk of lymphedema and to explore the preliminary effectiveness of the intervention on lymphedema incidence at 12 months. Read More

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January 2021

DVT and Abdominoplasty: A Holistic 8-point Protocol Based Approach to Prevent DVT.

Aesthet Surg J 2021 Jan 15. Epub 2021 Jan 15.

Consultant Plastic Surgeon, Dolan Park Hospital, UK.

Background: Plastic surgery as a specialty is afflicted with one of the highest incidence rates of thromboembolic events, with abdominoplasty procedures known to assimilate the greatest rates of Deep Vein Thrombosis (DVT).

Objectives: To develop a prophylactic protocol to reduce the rate of DVT occurrence post-abdominoplasty.

Methods: A total of 1078 abdominoplasty patients were enrolled onto an 8-point prophylaxis protocol with an inclusive holistic approach over a 7-year period. Read More

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January 2021

Pragmatic Recommendations for the Management of Anticoagulation and Venous Thrombotic Disease for Hospitalized Patients with COVID-19 in Low- and Middle-Income Countries.

Am J Trop Med Hyg 2021 Jan 11. Epub 2021 Jan 11.

Divisions of Infectious Disease and Critical Care Medicine, University of California San Diego, San Diego, California.

New studies of COVID-19 are constantly updating best practices in clinical care. Often, it is impractical to apply recommendations based on high-income country investigations to resource limited settings in low- and middle-income countries (LMICs). We present a set of pragmatic recommendations for the management of anticoagulation and thrombotic disease for hospitalized patients with COVID-19 in LMICs. Read More

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January 2021

Interface Pressures Derived from a Tubular Elastic Bandage.

Ann Vasc Dis 2020 Dec;13(4):410-413

Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.

We sought to clarify the interface pressure (IP) when using a tubular elastic bandage (TEB) and examine the possibility for TEBs to provide IPs comparable to those provided by anti-thrombotic stockings. In 40 healthy patients, IPs were measured at the level of calf at its maximum diameter (C) and transition of the medial gastrocnemius muscle into the Achilles tendon (B1) while a single or double layer of TEBs (17.5 cm in circumference) were applied with the patient in a supine position. Read More

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December 2020

Nervous system complications of COVID-19 with a focus on stroke.

Eur Rev Med Pharmacol Sci 2020 12;24(24):13044-13048

Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou City, Jiangsu Province, China.

As a severe and highly contagious infection, coronavirus disease (COVID-19) affects all aspects of society and has become a global public health problem. Because of the complexity of the pathology of COVID-19, it is difficult to treat. An increasing number of reports have indicated that COVID-19 may have neurological complications, including stroke. Read More

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December 2020

[Effectiveness and safety of non-pharmacological interventions for the prevention of venous thromboembolism in stroke patients: an overview of systematic reviews].

Prof Inferm 2020 Jul-Sep;73(3):153-162

Professore Associato MED/45, Dipartimento di Scienze Biomediche per la Salute, Universita' degli Studi di Milano; Direttore didattico del Corso di Laurea in Infermieristica, ASST Grande Ospedale Metropolitano Niguarda, Milano .

Introduction: Half of the deaths recorded in non-surgical patients attributable to venous thromboembolism (VTE) affect those with stroke. The uncertain benefit of anticoagulant therapy has increased interest in non-pharmacological intervention to prevent VTE.

Aim: To evaluate the efficacy and safety of non-pharmacological interventions to prevent VTE in stroke patients. Read More

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December 2020

Class 2 Compression Sleeves for Full Legs versus Stockings after Thermal Ablation with Phlebectomy: A Randomized Trial.

J Vasc Surg Venous Lymphat Disord 2020 Dec 16. Epub 2020 Dec 16.

Military Medical Academy named after S.M. Kirov, St Petersburg, Russia.

Objectives: Compression stockings and bandages are widely used after invasive treatment in patients with varicose veins. The goals of compression after venous interventions are to reduce pain, bruising and ecchymosis. Nevertheless, patients often report discomfort of using compression. Read More

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December 2020