Thigh-length versus below-knee compression elastic stockings for prevention of the postthrombotic syndrome in patients with proximal-venous thrombosis: a randomized trial
| العنوان: | Thigh-length versus below-knee compression elastic stockings for prevention of the postthrombotic syndrome in patients with proximal-venous thrombosis: a randomized trial |
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| المؤلفون: | Prandoni P, Noventa F, Quintavalla R, Bova C, Siragusa S, Bucherini E, Astorri F, Cuppini S, Dalla Valle F, Lensing AW, Prins MH, Villalta S, Canano Investigators Collaborators […, Vedovetto V, Barbar S, Campello E, Milan M, Filippi L, Rocci A, Chiappetta P, Pellegrini R, Fiaschi E, Vallone G, D'Amico E, Noto A, Pili C, Costantini E, Gasperon M, Palareti G, Malato A, Saccullo G, Brini C, Bitti G, Marzolo M, Ramazzina E, Zamboni S., COSMI, BENILDE |
| المساهمون: | Epidemiologie, MUMC+: KIO Kemta (9), RS: CAPHRI School for Public Health and Primary Care, Prandoni P, Noventa F, Quintavalla R, Bova C, Cosmi B, Siragusa S, Bucherini E, Astorri F, Cuppini S, Dalla Valle F, Lensing AW, Prins MH, Villalta S, Canano Investigators Collaborators […, Vedovetto V, Barbar S, Campello E, Milan M, Filippi L, Rocci A, Chiappetta P, Pellegrini R, Fiaschi E, Vallone G, D'Amico E, Noto A, Pili C, Costantini E, Gasperon M, Palareti G, Malato A, Saccullo G, Brini C, Bitti G, Marzolo M, Ramazzina E, Zamboni S., …], Prandoni, P, Noventa, F, Quintavalla, R, Bova, C, Cosmi, B, Siragusa, S, Bucherini, E, Astorri, F, Cuppini, S, Dalla Valle, F, Lensing, A, Prins, M, Villalta, S |
| المصدر: | Blood, 119(6), 1561-1565. The American Society of Hematology |
| بيانات النشر: | American Society of Hematology, 2012. |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | Adult, Male, musculoskeletal diseases, medicine.medical_specialty, Time Factors, Immunology, Thigh, behavioral disciplines and activities, Biochemistry, Postthrombotic Syndrome, Settore MED/15 - Malattie Del Sangue, law.invention, POST-THROMBOTIC SYNDROME, Young Adult, Randomized controlled trial, law, medicine, Humans, Knee, Aged, Aged, 80 and over, Venous Thrombosis, First episode, VENOUS THROMBOEMBOLISM, business.industry, Pruritus, Hazard ratio, Cell Biology, Hematology, Middle Aged, musculoskeletal system, medicine.disease, Thrombosis, humanities, Confidence interval, Discontinuation, Surgery, Venous thrombosis, Treatment Outcome, medicine.anatomical_structure, Erythema, Patient Compliance, Female, venous thrombosis, business, Stockings, Compression, Follow-Up Studies |
| الوصف: | Although below-knee compression elastic stockings (CES) are effective for the prevention of the postthrombotic syndrome (PTS), a substantial number of patients with deep venous thrombosis still develop PTS. In the present open-label, randomized clinical trial, we compared thigh-length with below-knee CES for the prevention of PTS. A total of 267 patients with the first episode of proximal deep venous thrombosis were randomized to wear either thigh-length or below-knee CES for 2 years. After 3, 6, 12, 18, 24, and 36 months, they were assessed for PTS manifestations according to the Villalta scale. PTS developed in 44 (32.6%) of the 135 patients randomized to thigh-length CES and in 47 (35.6%) of the 132 allocated to below-knee CES, for an adjusted hazard ratio of 0.93 (95% confidence interval, 0.62-1.41). Severe PTS developed in 3 patients in each group. CES-related side effects developed in 55 (40.7%) of the 135 patients allocated to thigh-length CES and in 36 (27.3%) of those randomized to the below-knee group (P = .017), and led to premature discontinuation of their use in 29 (21.5%) and 18 (13.6%) patients, respectively. We conclude that thigh-length CES do not offer a better protection against PTS than below-knee CES and are less well tolerated. This study is registered as Clinical Trial number NCT00426075. |
| وصف الملف: | STAMPA |
| تدمد: | 1528-0020 0006-4971 0042-6075 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d5c93547c7228f80de3488780ee8ade1Test https://doi.org/10.1182/blood-2011-11-391961Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d5c93547c7228f80de3488780ee8ade1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15280020 00064971 00426075 |
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