A prospective evaluation of standard versus battery-powered sequential compression devices in postsurgical patients

• We compare in a prospective randomized study postsurgical patient compliance with standard versus portable SCDs.
• New guidelines recommend adherence to SCDs for a minimum of 18 hours/day in select postsurgical patients.
• We show improved compliance (85% vs 47%) with the portable device and improved patient satisfaction.
• The dual VTE prevention strategies of early mobilization and SCD utilization can be met with the appropriate equipment.

BackgroundSequential compression devices (SCDs) reduce deep venous thrombosis in postsurgical patients, but the use is hindered by poor compliance.MethodsGeneral and orthopedic surgery patients (n = 67) were randomized to standard- or battery-powered SCDs. Compliance was documented hourly. Nurses and patients were issued a survey to assess barriers to compliance and device satisfaction.ResultsCompliance with standard SCDs was 47% compared with 85% with battery-powered SCDs (P < .001). The most common barriers identified by nurses and patients were ambulation and transfers, which were mitigated with the battery-powered device. A majority (79%) of those issued a battery-powered device reported no major problems compared with only 14% of patients issued a standard device (P < .005).ConclusionsThe dual venous thromboembolism prevention strategies of early mobilization and SCD utilization can be met with the appropriate equipment.