Prevention of deep venous thrombosis in patients with acute spinal cord injuries: use of rotating treatment tables.
A randomized clinical trial of 15 patients with acute spinal cord injuries was performed to test the hypothesis that rotating treatment tables prevent deep venous thrombosis in this population. Four of 5 control (nonrotated) patients developed distal and proximal thrombi, assessed by 125I fibrinogen leg scans and impedance plethysmography. In comparison, only 1 of 10 treated (rotated) patients developed both distal and proximal thrombosis (P = 0.007). These results suggest but do not prove that rotating treatment tables prevent the development of proximal deep venous thrombosis in spinal cord-injured patients. Larger clinical trials are needed to confirm this heretofore undocumented benefit of rotating treatment tables.
Becker
D M
DM
Gonzalez
M
M
Gentili
A
A
Eismont
F
F
Green
B A
BA
D001513:Beds; D002986:Clinical Trials as Topic; D005340:Fibrinogen; D006801:Humans; D007457:Iodine Radioisotopes; D011877:Radionuclide Imaging; D012399:Rotation; D013119:Spinal Cord Injuries / Q000150:complications* / Q000628:therapy; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000517:prevention & control*; D013997:Time Factors
D007457:Iodine Radioisotopes; D005340:Fibrinogen