The ACCP guidelines recommend mechanical prophylaxis of DVT for patients who can not take anti-thrombotic drugs, but do not state a preference for intermittent pneumatic compression (IPC) versus graduated compression stockings (GCS). This systematic review of 10 studies (9 surgical) found slightly lower risk of DVT with the use of IPC (3% versus 6%). IPC may be more effective for mechanical DVT prophylaxis than GCS in surgical patients (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.