Evidence map›Paper›PMID 38041039›Full record

Trial reportBMC musculoskeletal disorders2023

Effect of different application duration of a venous foot pump on prevention of venous thromboembolism after hip and knee arthroplasty: a multicenter prospective clinical trial.

Siqi Gu, Yu-E Chen, Mingxing Lei, Jiahui Li, Wanying Li, Meihong Zhang, Hongxia Zhu, Mengying Ma, Dan Kong, Yuan Gao

Open access · goldAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Siqi Gu *Department of Orthopaedics, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Yu-E Chen *Department of Orthopaedics, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Mingxing LeiDepartment of Orthopaedics, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Jiahui LiDepartment of Orthopaedics, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Wanying LiDepartment of Orthopaedics, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Meihong ZhangDepartment of Orthopaedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, 100048, China.
Hongxia ZhuDepartment of Orthopaedics, The First Affiliated Hospital of Soochow University, Jiangsu, 215006, China.
Mengying MaDepartment of Orthopaedics, Hainan Hospital, PLA General Hospital, Hainan, 572013, China.
Dan KongDepartment of Orthopaedics, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China. zwkdzwkd@163.com.
Yuan GaoNursing Department, The First Medical Center of Chinese PLA General, Beijing, 100853, China. gaoyuanzd@163.com.ORCID http://orcid.org/0000-0002-6064-2545
Chinese PLA General Hospital · CNHainan General Hospital · CNSoochow University · CN

Funding

The Innovation Project of the National Clinical Research Center for Orthopaedics and Sports Rehabilitation of China 2021-NCRC-CXJJ-ZH-36
6 · The paper itself

Abstract

objectiveTo investigate the optimal duration of applying a venous foot pump (VFP) in the prevention of venous thromboembolism (VTE) following hip and knee arthroplasty.

methodsA total of 230 patients undergoing hip and knee arthroplasty between March 2021 and March 2022 in orthopaedic departments of four major teaching hospitals were prospectively enrolled. Patients were randomly divided into five groups based on the duration of the VFP application. Postoperative deep vein thromboses (DVT), including proximal, distal, and intermuscular DVT, were recorded for analysis. Postoperative blood coagulation examinations, such as D-dimer and active partial thromboplastin time (APTT), pain outcome, and degree of comfort were also collected.

resultsTwo of the 230 patients withdrew due to early discharge from the hospital, and 228 patients were included in the final analysis. The mean age was 60.38 ± 13.33 years. The baseline characteristics were comparable among the five groups. Compared with the other groups, patients treated with 6-hour VFP had the lowest incidence of DVT (8.7%, 4/46), followed by those treated with 1-hour VFP (15.2%, 7/46), 12-hour VFP (15.6%, 7/45), 18-hour VFP(17.8%, 8/45) and 20-hour VFP(21.7%, 10/46), but with no significant difference (P = 0.539). Regarding postoperative blood coagulation examinations, patients treated with 6-hour VFP had the lowest D-dimer (P = 0.658) and the highest APTT (P = 0.262) compared with the other four groups. 6-hour VFP also had the lowest pain score (P = 0.206) and the highest comfort score (P = 0.288) compared with the other four groups.

conclusionsSix hours may be the optimal duration of applying VFP for the prevention of VTE in patients undergoing hip and knee arthroplasty in terms of VTE incidence, postoperative blood coagulation examinations, pain outcomes, and comfort scores.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeVenous ThromboembolismVenous ThrombosisAgedAnticoagulantsHumansMiddle AgedPainPostoperative ComplicationsProspective StudiesAnticoagulantsHip arthroplastyKnee arthroplastyVenous foot pumpVenous thromboembolism

Identifiers

PMID38041039
PMCPMC10691185
OpenAlexW4389246103

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.