A nurse-led bundled care intervention for preventing deep vein thrombosis in immobilized neurosurgical patients: a quasi-experimental study - Summary - MDSpire
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A nurse-led bundled care intervention for preventing deep vein thrombosis in immobilized neurosurgical patients: a quasi-experimental study
To evaluate the effectiveness of a nurse-led, multifaceted bundled care intervention on the incidence of DVT, patient compliance, and clinical outcomes in immobilized neurosurgical patients.
Key Findings:
DVT incidence was significantly lower in the intervention group (1.66% vs. 2.75%, p = 0.041).
Higher compliance with GCS/IPC use in the intervention group (76.5% vs. 58.1%, p < 0.001).
Greater DVT-related knowledge in the intervention group (85.2 ± 8.5 vs. 62.1 ± 10.2, p < 0.001).
Significantly greater reduction in limb circumference difference in the intervention group (1.2 ± 0.8 cm vs. 2.1 ± 1.1 cm, p < 0.001).
Lower pain scores in the intervention group (2.3 ± 1.2 vs. 4.1 ± 1.6, p < 0.001).
Higher patient satisfaction in the intervention group (94.1 ± 3.3 vs. 85.6 ± 4.8, p < 0.001).
Adjusted OR for lower DVT risk in the intervention group was 0.54 (95% CI 0.32–0.92, p = 0.023).
Interpretation:
The nurse-led bundled care intervention was associated with a significantly lower DVT incidence and improved clinical outcomes in immobilized neurosurgical patients.
Limitations:
Conclusion:
The protocol’s structured, evidence-based approach provides a practical model for VTE prevention in neurosurgical settings.
Aviva Abosch, M.D., Ph.D., a neurosurgeon at Baptist Health Miami Neuroscience Institute, part of Baptist Health Brain and Spine Care, was installed as the Esernia Endowed Chair in Surgical Treatment of Adult Epilepsy and Movement Disorders.
