OBJECTIVE: This study aimed to determine whether using the Movement and Compressions (MAC) system compared with an IPC device impacts compliance with mechanical VTE prophylaxis in trauma patients.
METHODS: This study used a before-and-after design with historical control at a Level II trauma center with a convenience sample of adult trauma patients admitted to the intensive care unit or acute care floor for at least 24 h. We trialed the MAC device for 2 weeks in November and December 2022 with prospective data collection. Data collection for the historical control group occurred retrospectively using patients from a point-in-time audit of IPC device compliance from August and September of 2022.
RESULTS: A total of 51 patients met inclusion criteria, with 34 patients in the IPC group and 17 patients in the MAC group. The mean (SD) prophylaxis time was 17.2 h per day (4.0) in the MAC group and 7.5 h per day (8.8) in the IPC group, which was statistically significant (p < .001).
CONCLUSIONS: Our findings suggest that the MAC device can improve compliance with mechanical prophylaxis.
目的:本研究旨在确定与IPC设备相比,使用运动和压缩(MAC)系统是否会影响创伤患者机械预防VTE的依从性。
方法:本研究使用了在II级创伤中心进行的具有历史对照的前后设计,并对入住重症监护病房或急性护理层至少24小时的成年创伤患者进行了便利样本。我们于2022年11月和12月对MAC设备进行了为期2周的试验,并进行了前瞻性数据收集。历史对照组的数据收集是使用2022年8月和9月IPC设备依从性的时间点审核的患者进行的回顾性收集。
结果:共有51例患者符合纳入标准,IPC组34例,MAC组17例。MAC组的平均(SD)预防时间为每天17.2h(4.0),IPC组为每天7.5h(8.8),具有统计学意义(p<.001)。
结论:我们的研究结果表明,MAC设备可以提高机械预防的依从性。