Overview of systematic reviews on effectiveness and safety assessment of intermittent pneumatic compression devices on preventing VTE
10.3760/cma.j.issn.1674-2907.2020.02.003
- VernacularTitle:间歇性充气加压装置预防静脉血栓栓塞症有效性和安全性评估的系统评价再评价
- Author:
Yu XIE
1
;
Weiyu PAN
;
Ying LU
;
Hongmei ZHANG
;
Shizheng DU
;
Junjuan ZHANG
Author Information
1. 郑州大学人民医院/河南大学人民医院/河南省人民医院骨科，郑州 450000
- Keywords:
Venous thromboembolism;
Deep venous thrombosis;
Meta-analysis;
Intermittent pneumatic compression devices;
Thrombosis prevention;
Systematic review
- From:
Chinese Journal of Modern Nursing
2020;26(2):149-157
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To carry out the overview of systematic reviews on effectiveness and safety assessment of pneumatic compression devices (PCD) on preventing venous thromboembolism (VTE) .Methods:Systematic reviews or Meta-analysis comparing PCD with other physical prophylaxis and drug prophylaxis were retrieved by computer in the Cochrane Library, PubMed, Embase, China National Knowledge Internet (CNKI) , China Biological Medicine, WanFang data from building the database to 31st March 2019. Two researchers independently implemented the literature screening, data extraction and quality evaluation. The Assessment of Multiple Systematic Reviews (AMSTAR) tool was used to quality assessment of methodology for included literatures. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was used to quality evaluation for outcome indexes.Results:Totals of 15 systematic reviews or Meta-analysis were included with 8 in Chinese and 7 in English. There were 11 literatures published after 2012. Quality assessment of methodology showed that 3 literatures met 11 items of AMSTAR, and other researches had the defect existed in different aspects. Evidences with the medium quality displayed the effectiveness of intermittent pneumatic compression devices in VTE prevention which could reduce the incidence of adverse events caused by separate drug prophylaxis, such as bleeding, through combining with drug prophylaxis. Application of intermittent pneumatic compression devices for VTE prevention should be based on clinical guidelines. At present, there was limited evidence guiding selection of specific device and device type.Conclusions:Intermittent pneumatic compression devices are safe and effective in VTE prevention which still needs to be demonstrated by researches with the large sample and high of quality.
