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Effectiveness of Initiating Deep Vein Thrombosis Prophylaxis in Patients With Stroke

An Integrative Review

Dizon, Mark Angel M.; De Leon, Josephine M.

Journal of Neuroscience Nursing: October 2018 - Volume 50 - Issue 5 - p 308–312
doi: 10.1097/JNN.0000000000000385
Article

ABSTRACT Venous thromboembolism (VTE) is a frequent and potentially fatal complication of immobility caused by cerebrovascular disease. This review examines the efficiency of deep vein thrombosis (DVT) prophylaxis methods. Patients with stroke initiated on DVT prophylaxis were compared with those who did not have any prophylaxis. Integrative review research design was used and included articles from 2010 to 2016. Search terms such as “DVT prophylaxis” and “stroke” were used to identify scientific publications. Of 173 studies identified, 12 articles were included and rated using the Canadian Medical Association and Center for Evidence-Based Medicine Level of Evidence ranking system. Of DVT prophylaxis methods identified, intermittent pneumatic compression device was superior to antiembolic stockings. Current data showed that the stockings were insufficient in preventing VTE. Heparin and low–molecular-weight heparin were efficient chemoprophylaxis in reducing the incidence of VTE. The combination of chemical and mechanical DVT prevention is recommended.

Questions or comments about this article may be directed to Mark Angel M. Dizon, BSN, at markangeldizon2013@gmail.com. He is an Assistant Nurse Unit Manager at the NeuroCritical Care and Epilepsy Monitoring Units, St. Lukes Medical Center, Quezon City, Philippines.

Josephine M. De Leon, PhD MAN BSN, is Associate Professor, School of Nursing and Graduate School, Centro Escolar University, Manila, Philippines.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.jnnonline.com).

© 2018 American Association of Neuroscience Nurses