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

Abstract Background Sequential compression devices (SCDs) reduce deep venous thrombosis in postsurgical patients, but the use is hindered by poor compliance. Methods General 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. Results Compliance 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). Conclusions The dual venous thromboembolism prevention strategies of early mobilization and SCD utilization can be met with the appropriate equipment.