RecommendationEncourage patients to wear their anti-embolism stockings day and night until they no longer have significantly reduced mobility.
RecommendationRemove anti-embolism stockings daily for hygiene purposes and to inspect skin condition. In patients with a significant reduction in mobility, poor skin integrity or any sensory loss, inspect the skin two or three times per day, particularly the heels and bony prominences.
Relative values of different outcomesThe GDG considered that it was a priority to reduce the risk of death from PE and to prevent long term morbidity from DVT such as PTS. However the safety of the patient and adverse effects of the prophylaxis should be considered.
Economic considerationsThe cost-effectiveness of stockings will continue as long as the patient is immobile. However, they may no longer be cost- effective when the patient has returned to the community because of the need to monitor use. There is no cost- effectiveness evidence for the prophylactic use of stockings beyond discharge.
Other considerationsNone

From: 6, Summary of the effectiveness of mechanical and pharmacological prophylaxis

Cover of Venous Thromboembolism
Venous Thromboembolism: Reducing the Risk of Venous Thromboembolism (Deep Vein Thrombosis and Pulmonary Embolism) in Patients Admitted to Hospital.
NICE Clinical Guidelines, No. 92.
National Clinical Guideline Centre – Acute and Chronic Conditions (UK).
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