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Attitudes to prescribing compression stockings for patients with acute dvt: the MASTER registry

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Abstract

Compression therapy is still not widely used for patients with deep vein thrombosis (DVT). This report provides information on Italian doctors’ use of elastic stockings (ES) after acute DVT and identifies some predictors of prescription. Material and methods The MASTER multicenter registry collected information about clinical characteristics and management of patients with venous thromboembolism (VTE). In patients with objectively confirmed acute VTE, information about clinical presentation, diagnostic methods, temporary and permanent risk factors, pre-event prophylaxis and treatment, including ES prescription, were captured by an electronic data network at the time of the index event. Results Of 2119 patients enrolled, 1913 had DVT, 1772 in the legs; 1277 were prescribed ES at hospital discharge. The following conditions were associated with more frequent prescription: edema, in-hospital management, known thrombophilia; younger age. In multivariate analysis these factors all remained significantly associated with more frequent use of ES. Conclusions Italian clinicians’ attitudes to prescribing ES still appear suboptimal. Special attention is needed for patients treated at home, where organizational problems can interfere with the use of ES.

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Authors and Affiliations

  1. Department of Medicine, Azienda Ospedaliera “Ospedale Civile” di Vimercate, Via Cesare Battisti 23, 20059, Vimercate, Milan, Italy

    Guido Arpaia, Monica Carpenedo, Ornella Mastrogiacomo & Claudio Cimminiello

  2. Catholic University, Largo Francesco Vito 1, 00168, Rome, Italy

    Riccardo Pistelli

  3. Division of Internal and Cardiovascular Medicine-Stroke Unit, University of Perugia, Via Gerardo Dottori, 06100, Perugia, Italy

    Giancarlo Agnelli

  4. Via Garibaldi 19/D, 20090 OPERA, Milan, Italy

    Guido Arpaia

Authors
  1. Guido Arpaia
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  2. Monica Carpenedo
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  3. Riccardo Pistelli
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  4. Ornella Mastrogiacomo
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  5. Claudio Cimminiello
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  6. Giancarlo Agnelli
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Corresponding author

Correspondence to Guido Arpaia.

Additional information

List of MASTER Investigators are given in Appendix section.

Appendix: Participating investigators and study sites

Appendix: Participating investigators and study sites

Study Coordinator: G. Agnelli, Azienda Ospedaliera di Perugia, Università di Perugia, Perugia. Investigators: R. Rossi and M. Verso Azienda Ospedaliera di Perugia, Università di Perugia, Perugia.; W. Ageno and J. Vitale, Ospedale di Circolo Macchi, Varese; M. Bellisi, Policlinico “Paolo Giaccone”, Palermo; M. Bianchi, Ospedale Valduce, Como; V. Brancaccio, Ospedale Cardarelli, Napoli; A. Ciampa, Azienda Ospedaliera San Giovanni Moscati, Avellino; A. Dragani, Ospedale Civile di Pescara, Pescara; S. Grifoni, Azienda Ospedaliera Careggi, Firenze; D. Imberti, Ospedale Civile di Piacenza, Piacenza; M. Impagliatelli, IRCCS Casa Sollievo della Sofferenza, S. Giovanni Rotondo (FG); G. Iovane, ASL Bianchi Melacrino- Morelli, Reggio Calabria; R. Margheriti, Ospedale G.B. Grassi, Ostia Lido (RM); M. Moia, Ospedale Maggiore di Milano, Milano; A. Musumeci, Ospedale Vittorio Emanuele II, Catania; G. Palareti, Policlinico S. Orsola Malpigli, Bologna; M. Pini, Ospedale Civile di Fidenza, Fidenza (PR); P.A. Pittaluga, Ospedale Galliera, Genova; V. Prisco, Ospedale ASL SA/2, Mercato San Severino (SA); S. Rupoli, Ospedale Regionale Torrette, Torrette di Ancona (AN); G. Scannapieco, Ospedale Civile Ca’ Foncello, Treviso; S. Signorelli, Ospedale Garibaldi, Catania; M. Silingardi, Azienda Ospedaliera S. Maria Nuova, Reggio Emilia; S. Siragusa, Policlinico “Paolo Giaccone”, Palermo; V. Virgilio, Ospedale Garibaldi, Catania.

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Arpaia, G., Carpenedo, M., Pistelli, R. et al. Attitudes to prescribing compression stockings for patients with acute dvt: the MASTER registry. J Thromb Thrombolysis 28, 389–393 (2009). https://doi.org/10.1007/s11239-009-0316-4

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  • DOI: https://doi.org/10.1007/s11239-009-0316-4

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