PETS

  • Research type

    Research Study

  • Full title

    Examining the benefit of graduated compression stockings in the Prevention of vEnous Thromboembolism in low-risk Surgical patients: a multicentre cluster randomised controlled trial.

  • IRAS ID

    312752

  • Contact name

    Alun Davies

  • Contact email

    a.h.davies@imperial.ac.uk

  • Sponsor organisation

    Imperial College London

  • ISRCTN Number

    ISRCTN13908683

  • Clinicaltrials.gov Identifier

    NCT05347550

  • Duration of Study in the UK

    3 years, 8 months, 31 days

  • Research summary

    Hospital acquired thrombosis describes blood clots that form in the legs and lungs after someone is treated in hospital. Clots in the leg can cause swelling, pain and other problems. If a clot in the leg travels to the lungs, it may be life threatening. Having surgery increases the risk of developing blood clots.

    People having short-stay surgery (who either go home the same day or who stay overnight but go home shortly afterwards) are at a much lower risk of developing a blood clot than those who stay in hospital for longer. These low-risk people are often given elastic stockings (which squeeze the leg muscles) to reduce the chance of a blood clot. The risks of wearing the stockings are low but they can be uncomfortable. In the UK, there are over a million short stay surgeries performed each year and most of these people are given elastic stockings to wear. Stockings cost the NHS a lot of money and it remains unknown if they work.

    This study will investigate if it is worthwhile to continue using elastic stockings in people having surgery where the risk of developing blood clots is low. Adults (over 18-years) who are at low risk of developing blood clots (assessed using a nationally recognised tool) will be included.

    At random, participants will be given elastic stockings to wear during their hospital stay or not given
    elastic stockings at all. The surgery will continue as normal. Participants will be contacted at 7 and 90 days after their surgery to see if they developed a blood clot. Participants will be provided with information on the symptoms of blood clots and advised to attend the emergency department if they develop any of the symptoms i.e., not wait for the follow-up to avoid delay.

  • REC name

    London - Camden & Kings Cross Research Ethics Committee

  • REC reference

    22/LO/0390

  • Date of REC Opinion

    31 May 2022

  • REC opinion

    Favourable Opinion