COMPARISON OF EARLY AND DELAYED MOBILITY IN DEEP VENOUS THROMBOSIS FOR DEVELOPMENT OF POST THROMBOTIC LIMB

Abstract

Objective: To determine better modality of management of deep venous thrombosis comparing early and delayed mobilization in adequately anti coagulated patients.

Study Design: Quasi-experimental study.

Place and Duration of Study: Combined Military Hospital, Peshawar, from Jan 2015 to Dec 2016.

Methodology: Sixty patients of deep venous thrombosis were recruited in the study in strict compliance with the inclusion and exclusion criteria. Patients were randomized using random number table into two equal groups. In group A patients were mobilized on second day after adequate anti coagulation. In group B patients were mobilized about 2 weeks after they were adequately anti coagulated after the first episode of deep venous thrombosis. All the patients were followed up for 2 years after the development of deep venous thrombosis for development of post thrombotic syndrome according to Villalta scale. Frequency of development of post thrombotic syndrome was calculated for each group.

Results: Chi square test was applied to test the significance of development of post thrombotic syndrome in both the groups. The p-value was calculated and was found to be >0.022 which was significant.

Conclusion: Early mobilization after first episode of deep venous thrombosis in adequately anti coagulated patient is better than delayed mobilization as far as development of post thrombotic syndrome is concerned.