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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Miss Francine Heatley
f.heatley@imperial.ac.uk


More information about this study, what is involved and how to take part can be found on the study website.

Study Location:

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Be Part of Research - Trial Details - A randomised controlled trial investigating the effects of compression stockings in patients who require blood thinning medication post discharge from elective surgery

A randomised controlled trial investigating the effects of compression stockings in patients who require blood thinning medication post discharge from elective surgery

Medical Conditions

Venous thromboembolism


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Hospital-acquired thrombosis (HAT) is defined as any venous thromboembolism (VTE) within 90 days of hospital admission, encompassing both deep vein thrombosis (DVT) and pulmonary embolism (PE). HAT represents a significant cause of preventable death, with over 12,000 people dying each year from hospital-associated VTE in the UK. Previous studies report that the risk of untreated high-risk surgical patients developing HAT is as high as 40-60% in orthopaedic patients and 15-40% in general surgery patients. For these patients at highest risk of VTE, key prevention strategies include extended pharmacological thromboprophylaxis (EDPTP) prescribed beyond hospital discharge and provision of graduated compression stockings (GCS). There is compelling evidence to support the use of pharmacological thromboprophylaxis, however, there is little evidence to support the use of additional GCS, which can cause complications in as many as 5% of patients. Providing GCS in this group costs the NHS a minimum of £8.3 million per annum. This study aims to establish whether:
1. Patients undergoing surgical procedures requiring EDPTP benefit from additional GCS to prevent VTE
2. Patients receiving GCS experience an increased rate of adverse events

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 May 2024 30 Jun 2026

Publications

2025 Protocol article in https://pubmed.ncbi.nlm.nih.gov/40623749/ (added 08/07/2025)

Participants will be randomly allocated to one of two thromboprophylaxis strategies:
1. EDPTP* in addition to GCS, or
2. EDPTP alone and followed up for 90 days post-surgery.
Participation in the study will last 3 months from entry. Participants will be contacted at three time points post-surgery (7 days, between 21 and 35 days and 90 days later) to ask some questions about their health and how often they have worn their stockings and taken blood thinners. The questions can be answered via telephone or an online survey (the link to this survey will be sent via email or text message). Participants will also be invited back to the hospital between 21 and 35 days to have an additional scan of the veins in their legs to detect any blood clots that may have developed.


Patients aged 18 years or older undergoing elective surgery and requiring extended duration (post-discharge) blood thinning medication who have not been advised not to take blood thinners or wear GCS

You can take part if:



You may not be able to take part if:


1. Contraindications to EDPTP or GCS 2. Individuals requiring therapeutic anticoagulation e.g., anticoagulation for previous DVT3. Known thrombophilia or thrombogenic disorder


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • North Bristol NHS Trust
    Southmead Hospital Southmead Road Westbury-on-trym
    Bristol
    BS10 5NB
  • Oxford University Hospitals NHS Foundation Trust
    John Radcliffe Hospital Headley Way Headington
    Oxford
    OX3 9DU
  • Sheffield Teaching Hospitals NHS Foundation Trust
    Northern General Hospital Herries Road
    Sheffield
    S5 7AU
  • The Christie NHS Foundation Trust
    550 Wilmslow Road Withington
    Manchester
    M20 4BX
  • University College London Hospitals NHS Foundation Trust
    250 Euston Road
    London
    NW1 2PG
  • University Hospitals Birmingham NHS Foundation Trust
    Queen Elizabeth Hospital Mindelsohn Way Edgbaston
    Birmingham
    B15 2GW
  • University Hospital Southampton NHS Foundation Trust
    Southampton General Hospital Tremona Road
    Southampton
    SO16 6YD
  • Leeds Teaching Hospitals NHS Trust
    St. James's University Hospital Beckett Street
    Leeds
    LS9 7TF
  • Manchester University NHS Foundation Trust
    Cobbett House Oxford Road
    Manchester
    M13 9WL
  • University Hospitals of Leicester NHS Trust
    Leicester Royal Infirmary Infirmary Square
    Leicester
    LE1 5WW
  • Norfolk and Norwich University Hospitals NHS Foundation Trust
    Colney Lane Colney
    Norwich
    NR4 7UY
  • Royal Cornwall Hospitals NHS Trust
    Royal Cornwall Hospital Treliske
    Truro
    TR1 3LJ
  • Barnsley Hospital NHS Foundation Trust
    Gawber Road
    Barnsley
    S75 2EP
  • Charing Cross Hospital
    Fulham Palace Road
    London
    W6 8RF
  • Royal National Orthopaedic Hospital NHS Trust
    Brockley Hill
    Stanmore
    HA7 4LP
  • Royal Surrey County Hospital NHS Foundation Trust
    Egerton Road
    Guildford
    GU2 7XX
  • Lewisham and Greenwich NHS Trust
    University Hospital Lewisham Lewisham High Street
    London
    SE13 6LH
  • North Cumbria Integrated Care NHS Foundation Trust
    Pillars Building Cumberland Infirmary Infirmary Street
    Carlisle
    CA2 7HY
  • Sherwood Forest Hospitals NHS Foundation Trust
    Kings Mill Hospital Mansfield Road
    Sutton-in-ashfield
    NG17 4JL
  • Mid and South Essex NHS Foundation Trust
    Prittlewell Chase
    Westcliff-on-sea
    SS0 0RY
  • St George's University Hospitals NHS Foundation Trust
    SW17 0QT
  • South Tyneside and Sunderland NHS Foundation Trust
    Sunderland Royal Hospital Kayll Road
    Sunderland
    SR4 7TP
  • Southern Health and Social Care Trust
    Southern Area College of Nursing Craigavon Area Hospital 68 Lurgan Road, Portadown
    Craigavon
    BT63 5QQ
  • Blackpool Teaching Hospitals NHS Foundation Trust
    Victoria Hospital Whinney Heys Road
    Blackpool
    FY3 8NR
  • The Rotherham NHS Foundation Trust
    Moorgate Road
    Rotherham
    S60 2UD
  • Mid Yorkshire Teaching NHS Trust
    Pinderfields Hospital Aberford Road
    Wakefield
    WF1 4DG
  • Northern Lincolnshire and Goole NHS Foundation Trust
    Diana Princess of Wales Hospital Scartho Road
    Grimsby
    DN33 2BA
  • Queen Victoria Hospital NHS Foundation Trust
    Holtye Road
    East Grinstead
    RH19 3DZ
  • Gloucestershire Hospitals NHS Foundation Trust
    Cheltenham General Hospital Sandford Road
    Cheltenham
    GL53 7AN
  • Swansea Bay University Local Health Board
    Tonna Hospital Tonna Uchaf Tonna
    Neath
    SA11 3LX
  • Portsmouth Hospitals University NHS Trust
    Queen Alexandra Hospital Southwick Hill Road Cosham
    Portsmouth
    PO6 3LY
  • Northern Care Alliance NHS Foundation Trust
    M6 8HD
  • Ashford and St. Peter’s Hospitals Trust
    KT16 0PZ
  • The Cleveland Clinic
    SW1X 7HY
  • St Mary's Hospital
    Praed Street
    London
    W2 1NY

Side effects of elastic stockings are uncommon. Whilst the researchers do not anticipate any specific side effects as a result of taking part in this trial, in rare circumstances, some patients may be allergic to the materials that are contained within the stockings. Furthermore, some people find the stockings uncomfortable to wear but this causes no lasting effects. Very rarely the compression stockings can cause abrasions of the skin. The researchers are uncertain if wearing stockings reduces the chances of a blood clot developing which is why they are organising this study. Participants be provided with a leaflet which explains how to recognise the signs and symptoms of a blood clot. The duplex ultrasound is designed to detect any asymptomatic DVTs.

Miss Francine Heatley
f.heatley@imperial.ac.uk



More information about this study, what is involved and how to take part can be found on the study website.


The study is sponsored by Imperial College London and funded by NIHR Evaluation, Trials and Studies Co-ordinating Centre (NETSCC); Grant Codes: NIHR155294.




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Read full details for Trial ID: ISRCTN11667770

Or CPMS: 60092

Last updated 09 July 2025

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