Sequential compression devices in postoperative urologic patients: an observational trial and survey study on the influence of patient and hospital factors on compliance

Persistent Link:
http://hdl.handle.net/10150/610106
Title:
Sequential compression devices in postoperative urologic patients: an observational trial and survey study on the influence of patient and hospital factors on compliance
Author:
Ritsema, David; Watson, Jennifer; Stiteler, Amanda; Nguyen, Mike
Affiliation:
Division of Urology, The University of Arizona, Tucson, AZ, USA; Department of Biomedical Engineering, The University of Arizona, Tucson, AZ, USA; Department of Urology, The University of Southern California, Los Angeles, CA, USA
Issue Date:
2013
Publisher:
BioMed Central
Citation:
Ritsema et al. BMC Urology 2013, 13:20 http://www.biomedcentral.com/1471-2490/13/20
Journal:
BMC Urology
Rights:
© 2013 Ritsema et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)
Collection Information:
This item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.
Abstract:
BACKGROUND:Sequential compression devices (SCDs) are commonly used for thromboprophylaxis in postoperative patients but compliance is often poor. We investigated causes for noncompliance, examining both hospital and patient related factors.METHODS:100 patients undergoing inpatient urologic surgery were enrolled. All patient had SCD sleeves placed preoperatively. Postoperative observations determined SCD compliance and reasons for non-compliance. Patient demographics, length of stay, inpatient unit type, and surgery type were recorded. At discharge, a patient survey gauged knowledge and attitudes regarding SCDs and bother with SCDs. Statistical analysis was performed to correlate SCD compliance with patient demographics; patient knowledge and attitudes regarding SCDs; and patient self-reported bother with SCDs.RESULTS:Observed overall compliance was 78.6%. The most commonly observed reasons for non-compliance were SCD machines not being initially available on the ward (71% of non-compliant observations on post-operative day 1) and SCD use not being restarted promptly after return to bed (50% of non-compliant observations for entire hospital stay). Mean self-reported bother scores related to SCDs were low, ranging from 1-3 out of 10 for all 12 categories of bother assessed. Patient demographics, knowledge, attitudes and bother with SCD devices were not significantly associated with non-compliance.CONCLUSIONS:Patient self-reported bother with SCD devices was low. Hospital factors, including SCD machine availability and timely restarting of devices by nursing staff when a patient returns to bed, played a greater role in SCD non-compliance than patient factors. Identifying and addressing hospital related causes for poor SCD compliance may improve postoperative urologic patient safety.
EISSN:
1471-2490
DOI:
10.1186/1471-2490-13-20
Keywords:
Venous thromboembolism; Intermittent pneumatic compression devices; Postoperative complications; Compliance
Version:
Final published version
Additional Links:
http://www.biomedcentral.com/1471-2490/13/20

Full metadata record

DC FieldValue Language
dc.contributor.authorRitsema, Daviden
dc.contributor.authorWatson, Jenniferen
dc.contributor.authorStiteler, Amandaen
dc.contributor.authorNguyen, Mikeen
dc.date.accessioned2016-05-20T08:58:43Z-
dc.date.available2016-05-20T08:58:43Z-
dc.date.issued2013en
dc.identifier.citationRitsema et al. BMC Urology 2013, 13:20 http://www.biomedcentral.com/1471-2490/13/20en
dc.identifier.doi10.1186/1471-2490-13-20en
dc.identifier.urihttp://hdl.handle.net/10150/610106-
dc.description.abstractBACKGROUND:Sequential compression devices (SCDs) are commonly used for thromboprophylaxis in postoperative patients but compliance is often poor. We investigated causes for noncompliance, examining both hospital and patient related factors.METHODS:100 patients undergoing inpatient urologic surgery were enrolled. All patient had SCD sleeves placed preoperatively. Postoperative observations determined SCD compliance and reasons for non-compliance. Patient demographics, length of stay, inpatient unit type, and surgery type were recorded. At discharge, a patient survey gauged knowledge and attitudes regarding SCDs and bother with SCDs. Statistical analysis was performed to correlate SCD compliance with patient demographicsen
dc.description.abstractpatient knowledge and attitudes regarding SCDsen
dc.description.abstractand patient self-reported bother with SCDs.RESULTS:Observed overall compliance was 78.6%. The most commonly observed reasons for non-compliance were SCD machines not being initially available on the ward (71% of non-compliant observations on post-operative day 1) and SCD use not being restarted promptly after return to bed (50% of non-compliant observations for entire hospital stay). Mean self-reported bother scores related to SCDs were low, ranging from 1-3 out of 10 for all 12 categories of bother assessed. Patient demographics, knowledge, attitudes and bother with SCD devices were not significantly associated with non-compliance.CONCLUSIONS:Patient self-reported bother with SCD devices was low. Hospital factors, including SCD machine availability and timely restarting of devices by nursing staff when a patient returns to bed, played a greater role in SCD non-compliance than patient factors. Identifying and addressing hospital related causes for poor SCD compliance may improve postoperative urologic patient safety.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttp://www.biomedcentral.com/1471-2490/13/20en
dc.rights© 2013 Ritsema et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)en
dc.subjectVenous thromboembolismen
dc.subjectIntermittent pneumatic compression devicesen
dc.subjectPostoperative complicationsen
dc.subjectComplianceen
dc.titleSequential compression devices in postoperative urologic patients: an observational trial and survey study on the influence of patient and hospital factors on complianceen
dc.typeArticleen
dc.identifier.eissn1471-2490en
dc.contributor.departmentDivision of Urology, The University of Arizona, Tucson, AZ, USAen
dc.contributor.departmentDepartment of Biomedical Engineering, The University of Arizona, Tucson, AZ, USAen
dc.contributor.departmentDepartment of Urology, The University of Southern California, Los Angeles, CA, USAen
dc.identifier.journalBMC Urologyen
dc.description.collectioninformationThis item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.en
dc.eprint.versionFinal published versionen
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