On multivariate analysis only spinal column injury correlated with increased compliance. obser-vations were early afternoon and midmorning. Six observations were made as to proper SCD applications during a 24-hour period (two times in the morning shift, two in the evening shift, and two overnight). Nonambulatory trauma patients were observed during their early postadmission period in a non-critical care setting. We conducted a prospective observational study at two Level I university-affiliated trauma centers. The purpose of this study was to evaluate the compliance with physician orders for the application of SCD prophylaxis among nonambulatory trauma patients at risk for DVT. These data point to the need for education of hospital staff and for additional prophylactic measures in at-risk patients.Ībstract = "The Sequential Compression Device (SCD) is frequently the sole measure used to prevent deep venous thrombosis (DVT) in trauma patients. Fewer than 20 per cent of patients had the devices on and functioning during each of the six observations during a 24-hour period. In nearly half of the observations trauma patients at risk for DVT were not receiving their SCD prophylaxis as per physician orders. The most common times for "noncompliant" obser-vations were early afternoon and midmorning. Among the 185 patients who were not fully compliant DVT risk factors were common (83%) and adjunctive heparin prophylaxis was infrequent (27%). The devices were on and functioning in 712 (53%) observations. In a total of 1343 observations in 227 patients only 42 patients (19%) were fully compliant. "Full compliance" was defined as SCD on and functioning properly in all six observations.
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The Sequential Compression Device (SCD) is frequently the sole measure used to prevent deep venous thrombosis (DVT) in trauma patients.