About this trial
This randomized assessor-masked trial will evaluate whether knee-high moderate graduated compression stockings reduce popliteal vein dilation during long-haul economy-class air travel to Bogota. Participants will be assigned to stockings or no stockings and will undergo bilateral ultrasound before flight, within 2 hours after arrival, and at 24 and 48 hours. The primary outcome is the between-group difference in change in mean bilateral popliteal vein diameter from preflight baseline to arrival.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 to 65 years.
Economy-class commercial itinerary to Bogota with at least 4 hours of total airborne time.
No clinical indication that mandates or prohibits compression stockings.
Ability to obtain the assigned stocking before boarding and wear it as instructed.
Disqualifiers
Current deep venous thrombosis, therapeutic anticoagulation, or severe peripheral arterial disease.
Significant lower-limb skin disease, ulceration, neuropathy, or deformity preventing safe stocking use.
Pregnancy.
Planned use of another compression device during the flight.
Trial design
Parallel
Treatments tested in this trial
Enoxaparine
DrugAll patients got enoxaparin to prevent blood clots
Knee-High Graduated Compression Stockings
DevicePROPOSED pressure class: 20-30 mmHg at the ankle, appropriately sized according to calf and ankle circumference, worn from approximately 1 hour before boarding until completion of the arrival ultrasound. The final product, pressure class, fitting method, and wear instructions must be confirmed. Linked arm/group(s): Moderate Compression Stockings.
Standardized Bilateral Popliteal Vein Ultrasound
Diagnostic testTriplicate bilateral diameter and cross-sectional-area measurements after a standardized rest period, with compressibility and flow assessment by an assessor masked to allocation. Linked arm/group(s): Moderate Compression Stockings, No Compression Stockings.
Treatment groups
Trial outcomes
Primary outcomes
Difference in Change in Mean Bilateral Popliteal Vein Diameter
Between-group difference in baseline-to-arrival change in the mean of triplicate anteroposterior diameter measurements from both legs, reported in millimeters and percent change.
Secondary outcomes
Incidence of Stocking-Related Adverse Effects
Proportion with skin injury, numbness, clinically significant pain, intolerance, or early removal attributed to the stocking.
Incidental Venous Thrombosis or Abnormal Compressibility
Number and proportion with an ultrasound abnormality requiring urgent clinical assessment.
Sponsors and contacts
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