Effects of a Venous Thromboembolism Prevention Program on the Occurrence of Venous Thromboembolism in Patients With Spinal Cord Disorders
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Khon Kaen University
- Enrollment
- 42
- Locations
- 1
- Primary Endpoint
- The rate of venous thromboembolism
Study Overview
Brief Summary
The goal of this quasi-experimental study is to examine the effects of a venous thromboembolism prevention program, or "5E" program, on the rates of venous thromboembolism in patients with spinal cord disorders. The main questions it aims to answer are:
- Will participants receiving the 5E program have lower rates of venous thromboembolism compared to those receiving the usual care?
- Will participants receiving the 5E program have lower scores of venous thromboembolism signs and symptoms compared to those receiving the usual care?
- Will the average thigh and calf circumferences of participants before and after receiving the 5E program be different?
Participants in the intervention group will receive the 5E program, including
- Education: health education regarding venous thromboembolism prevention
- Elevation: leg elevation of 10-20 degrees
- Exercise: ankle exercises
- Enough fluid: adequate fluid uptake
- Early application of intermittent pneumatic compression (IPC): IPC use within 48 hours after admission
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Sequential
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Caprini scores of 5-8 and >8
- •Able to communicate in the Thai language
- •Willing to participate in this study
Exclusion Criteria
- •Alteration of consciousness
- •Experiencing complications, including neurogenic shock and autonomic dysreflexia
- •Being pregnant
- •Having fluid restriction
Arms & Interventions
5E Program
Participants in the 5E program group will receive 7-day nursing interventions.
Intervention: 5E program (Behavioral)
Usual Care
Participants in the control group will receive 7-day usual care interventions, including health education regarding signs and symptoms of venous thromboembolism and IPC use if the participants experienced muscle power as grade 0.
Outcomes
Primary Outcomes
The rate of venous thromboembolism
Time Frame: The day before implementing the intervention and at 7 days after implementing intervention
The diagnosis of venous thromboembolism is confirmed by a Doppler ultrasound scan of the femoral vein and popliteal vein by a physician working at the study site. The physician will record the results in the data record form.
Secondary Outcomes
- Thigh and calf circumference(The day before implementing the intervention and Day 1 - Day 7 after implementing intervention)
- Signs and symptoms of deep venous thrombosis and pulmonary embolism(The day before implementing the intervention and Day 1 - Day 7 after implementing intervention)
Investigators
Wiphawadee Potisopha
Principle Investigator
Khon Kaen University