DVT prophylaxis - antithrombotics
- orthopedic surgery trial results systematic overview and meta-analysis
Main characteristics of the included studies
Trial |
Treatments |
Patients |
Methods |
PEP hip-fracture, 2000
|
aspirin 160mg/d started preoperatively and continued for 35 days
versus
placebo
|
patients undergoing surgery for hip fracture
|
follow-up 35 days
n=6679/6677
Parallel groups
Double blind
Australia, New Zealand, South Africa,
|
Turpie, 1986
|
Enoxaparin 3000 x2
versus
Placebo
|
Elective hip
|
follow-up 14 days or discharge
n=50/50
double blind
|
Leclerc, 1991
|
Enoxaparin 3000 x2
versus
Placebo
|
Knee
|
follow-up 14 days
n=65/64
double blind
|
Jorgensen, 1989
|
dalteparin 5000 x1
versus
Placebo
|
Hip fracture
|
follow-up 9 days
n=30/38
double blind
|
Torholm, 1991
|
dalteparin 5000x1
versus
Placebo
|
Elective hip
|
follow-up 9 days
n=58/54
double blind
|
Lassen, 1991
|
tinzaparin 50/kg x1 +elastic stockings
versus
Placebo+elastic stockings
|
Elective hip
|
follow-up 8-10 days
n=105/105
double blind
|
DES Group , 1991
|
Enoxaparin
versus
Dextran
|
Elective hip
|
follow-up
n=120/126
|
Eriksson , 1988
|
dalteparin
versus
Dextran
|
Elective hip
|
follow-up
n=50/50
|
Matzsch , 1988
|
dalteparin
versus
Dextran
|
Elective hip
|
follow-up
n=48/52
|
Matzsch , 1991
|
dalteparin
versus
Dextran
|
Elective hip
|
follow-up
n=120/123
|
Planes , 1988
|
Enoxaparin
versus
Unfractionated heparin
|
Elective hip
|
follow-up
n=124/113
|
Levine , 1991
|
Enoxaparin
versus
Unfractionated heparin
|
Elective hip
|
follow-up
n=333/332
|
Chiapuzzo , 1988
|
Fluxum
versus
Unfractionated heparin
|
Elective hip
|
follow-up
n=70/70
|
Pini , 1989
|
Fluxum
versus
Unfractionated heparin
|
Hip
|
follow-up
n=25/24
|
Haas , 1985
|
dalteparin
versus
Unfractionated heparin
|
Elective hip
|
follow-up
n=65/65
|
Binsack , 1986
|
dalteparin
versus
Unfractionated heparin
|
Elective hip
|
follow-up
n=48/47
|
Barre , 1987
|
dalteparin
versus
Unfractionated heparin
|
Elective hip
|
follow-up
n=40/40
|
Dechavanne , 1989
|
dalteparin
versus
Unfractionated heparin
|
Elective hip
|
follow-up
n=82/40
|
Eriksson , 1989
|
dalteparin
versus
Unfractionated heparin
|
Elective hip
|
follow-up
n=67/69
|
Monreal , 1989
|
dalteparin
versus
Unfractionated heparin
|
Hip
|
follow-up
n=46/44
|
Leyvraz , 1991
|
Fraxiparin
versus
Unfractionated heparin
|
Elective hip
|
follow-up
n=203/206
|
Haas , 1987
|
Sandoz +0.5mg DHE
versus
Unfractionated heparin
|
Elective hip
|
follow-up
n=80/80
|
Lassen, 1988
|
certoparin 3000+0.5mg DHE, x1
versus
Placebo
|
Elective hip
|
follow-up 6 days
n=118/122
double blind
|
Lassen, 1989
|
certoparin 3000+0.5mg DHE x1
versus
placebo
|
Hip fracture
|
follow-up 6 days
n=68/71
double blind
|
Yoo, 1997
|
nadroparin 41/kgx1 days 1-3, 62/kg x1 days 4-11+elastic stockings
versus
no treatment
|
Elective hip
|
follow-up 10 days
n=50/50
open
|
Samama, 1997
|
enoxaparin 4000x1+elastic stockings
versus
Placebo+elastic stockings
|
Elective hip
|
follow-up 8-12 days
n=85/85
double blind
|
Levine, 1996
|
ardeparin 50/kgx2 +elastic stockings
versus
Placebo+elastic stockings
|
Knee
|
follow-up 14 days
n=122/124
double blind
|
Kalodiki, 1996
|
enoxaparin 4000x1
versus
Placebo
|
Elective hip
|
follow-up discharge (8-12 days )
n=13/14
double blind
|
Warwick, 1995
|
enoxaparin 4000x1 + elastic stockings
versus
no treatment + elastic stockings
|
Elective hip
|
follow-up 8-10 days
n=78/78
open
|
Sourmelis, 1995
|
nadroparin 3075x1 preop, 6150x1 post op
versus
Placebo
|
Hip fracture
|
follow-up 10-12 days
n=72/78
double blind
|
RE-MOBILIZE (220mg), 2008
|
dabigatran etexilate 220 mg for 12-15 days
versus
Enoxaparin 30mg SC BID after surgery for 12-15 days
|
Total knee replacement
|
follow-up 12-15 days, median 14d
n=862/876
Parallel groups
double blind
US, Canada, Mexico, UK
|
RE-MODEL (220mg), 2007
|
dabigatran etexilate 220 mg q.d. 6-10 days
versus
Enoxaparin 40 mg q.d. for 6-10 days
|
Total knee replacement
|
follow-up 6-10 days, mean 8 days
n=694/699
double blind
Europe, Australia, South Africa
|
RE-NOVATE (220mg), 2007
NCT00168818
|
dabigatran etexilate 220 mg q.d. for 28-35 days
versus
Enoxaparin 40 mg q.d. for 23-35 days
|
Total hip replacement
|
follow-up 28-35 days, median 33d
n=1157/1162
Parallel groups
double blind
Europe, Australia, South Africa
|
RE-MODEL (150mg), 2007
|
dabigatran etexilate 150 mg q.d. for 6-10 days
versus
Enoxaparin 40 mg q.d. for 6-10 days
|
Total knee replacement
|
follow-up 6-10 days, mean 8 days
n=708/699
Parallel groups
double blind
Europe, Australia, South Africa
|
RE-NOVATE (150mg), 2007
NCT00168818
|
dabigatran etexilate 150 mg q.d. 28-35 days
versus
Enoxaparin 40 mg q.d. for 28-25 days
|
Total hip replacement
|
follow-up 28-35 days, median 33d
n=1174/1162
double blind
Europe, Australia, South Africa
|
RE-MOBILIZE (150mg), 2008
|
dabigatran etexilate 150 mg q.d. for 12-15 days
versus
enoxaparin 30 mg SC BID after surgery for 12-15 days
|
Total knee replacement
|
follow-up 12-15 days, median 14d
n=877/876
double blind
US, Canada, Mexico, UK
|
PENTAMAKS (Bauer), 2001
|
fondaparinux 2.5-mg once-daily subcutaneous, starting 6 hours after surgery
versus
enoxaparin 30mg twice daily (North america recommendation)
|
elective major knee surgery
|
follow-up 11 days
n=517/517
Parallel groups
double blind
North america
|
PENTHIFRA�PLUS (Eriksson), 2003
|
25-31 days of fondaparinux 2.5-mg once-daily
versus
6-8 days of fondaparinux 2.5-mg once-daily
|
patients undergoing hip fracture surgery
|
follow-up 19-23 days
n=656/0
Parallel groups
double blind
|
PENTHIFRA (Eriksson), 2001
|
fondaparinux 2.5-mg once-daily subcutaneous, starting 6 hours after surgery
versus
enoxaprin 40mg once daily
|
hip fracture surgery
|
follow-up 11 days
n=831/840
Parallel groups
double blind
21 countries
|
PENTATHLON (Turpie), 2002
|
fondaparinux 2.5-mg once-daily subcutaneous, starting 6 hours after surgery
versus
enoxaparin 30mg twice daily (North america recommendation)
|
elective hip replacement surgery
|
follow-up 11 days
n=1138/1137
Parallel groups
double blind
USA, Canada, Australia
|
EPHESUS (Lassen), 2002
|
fondaparinux 2.5-mg once-daily subcutaneous, starting 6 hours after surgery
versus
enoxaprin 40mg once daily
|
elective hip replacement surgery
|
follow-up 11 days (6 weeks)
n=1155/1154
Parallel groups
double blind
16 European countries
|
Phase II (Heit), 2001
|
Ximelagatran 8, 12, 18 or 24 mgorally b.d., at least 12 h after surgery for 6�12 days
versus
Enoxaparin 30 mg s.c. b.d.,starting at least 12 h after surgery for 6�12 days
|
adults (age>18 years and weight at least 40 kg) undergoing knee replacements
|
follow-up 6�12 days
n=600/0
parallel group
double-blind
North American
|
Platinum (Colwell), 2003
|
Ximelagatran 24 mg orally b.d., starting at least 12 h after surgery for 7�12 days
versus
Enoxaparin 30 mg s.c. b.d.,starting at least 12 h after surgery for 7�12 days
|
adults undergoing hip replacement
|
follow-up 7�12 days
n=906/910
parallel group
double-blind
USA, Canada, Israel, Mexico,Argentina, South Africa
|
METHRO I, 2002
|
Melagatran 1�4 mg s.c. immediately before surgery, melagatran at 20.00 hours, then ximelagatran 6�24 mg orally b.d. for 6�9 days
versus
Dalteparin 5000 IU o.d., started evening before surgery for 6�9 days
|
adults undergoing hip or knee replacement
|
follow-up 6�9 days
n=103/0
parallel group
open
Swedish
|
METHRO II, 2002
|
Melagatran 1�3 mg s.c. immediately before surgery,melagatran same day, then ximelagatran 8�24 mg orally b.d. for 7�10 days
versus
Dalteparin 5000 IU o.d., started evening before surgery for 7�10 days
|
undergoing hip or knee replacement
|
follow-up 7�10 days
n=1495/381
Parallel groups
double-blind
|
METHRO III, 2002
|
Melagatran 3 mg s.c. 4�12h after surgery, then ximelagatran24 mg orally b.d. for 7�10 days
versus
Enoxaparin 40 mg s.c. o.d. 12 h before surgery for 7�10 days
|
hip or knee replacement
|
follow-up 8�11 days
n=2788/0
double-blind
Europe, South Africa
|
EXPRESS, 2003
|
Melagatran 2 mg s.c. up to 30 min before surgery, then melagatran 3 mg at least 8 hafter surgery, then ximelagatran 24 mg orally b.d. for 8�11 days
versus
Enoxaparin 40 mg s.c. o.d.,starting 12 h before surgery for 8�11 days
|
hip or knee replacement
|
follow-up 8�11 days
n=2835/0
parallel group
double-blind
Europe
|
Stockholm-I, 1975
|
Aspirin 2000mg daily
versus
placebo
|
elective surgery of the hip
|
follow-up 2 weeks
n=26/25
double blind
|
Lyon-I, 1975
|
Aspirin 1500 mg daily + Dipyridamole
versus
control
|
Elective orthopaedic surgery
|
follow-up 2 weeks
n=20/20
|
Massachusetts-II, 1976
|
Hydroxychloroquine 600mg daily
versus
placebo
|
fractures or orthopaedic operations involving the skeleton between the knee and the pelvis
|
follow-up 3 weeks
n=51/51
|
Pasteyer, 1977
|
Aspirin 1000mg daily + Hep
versus
control (Hep alone)
|
Elective orthopaedic surgery
|
follow-up 2 weeks
n=20/20
Parallel groups
|
Harris-I, 1977
|
Aspirin 1200mg daily
versus
placebo
|
patients over 40 years of age, who had undergone total hip replacement
|
follow-up 1 weeks
n=58/59
Parallel groups
double-blind
|
McKenna-I, 1980
|
Aspirin 975mg or 3900mg daily
versus
placebo
|
total knee replacement
|
follow-up 2 weeks
n=24/12
Parallel groups
double-blind
|
Sautter, 1983
|
Aspirin 900mg daily + sulfinpyrazone
versus
placebo
|
patient with total hip replacement
|
follow-up 3 weeks
n=68/77
Parallel groups
|
Cooke, 1977
|
Hydroxychloroquine
versus
placebo
|
elective surgery on the hip
|
follow-up 2 weeks
n=25/25
Parallel groups
double-blind
|
Rocha, 1986
|
Aspirin 250mg or 1000mg daily
versus
control (combination of heparin plus dihydroergotamine)
|
total hip replacement
|
follow-up 1 weeks
n=60/30
Parallel groups
open
|
McKenna-II, 1983
|
Ticlopidine
versus
placebo
|
Elective orthopaedic surgery
|
follow-up 2 weeks
n=29/29
|
McBride, 1983
|
A1800+Dipyridamole
versus
placebo
|
Elective orthopaedic surgery
|
follow-up 1 weeks
n=21/22
|
Hume-A, 1977
|
Hydroxychloroquine
versus
placebo
|
total hip replacement
|
follow-up 2 weeks
n=20/20
|
Lyon-II, 3000
|
Ticlopidine
versus
placebo
|
Elective orthopaedic surgery
|
follow-up 3 weeks
n=20/20
|
Gardecki, 3000
|
Ticlopidine
versus
placebo
|
Elective orthopaedic surgery
|
follow-up 2 weeks
n=48/46
|
Stockholm-II, 1981
|
Hydroxychloroquine
versus
placebo
|
total hip replacement
|
follow-up 2 weeks
n=18/17
|
Hamburg, 1976
|
A+Dipyridamole,A1000
versus
placebo
|
Elective orthopaedic surgery
|
follow-up 3 weeks
n=21/11
|
Hull, 1993
|
Warfarin
versus
Logiparin 75 anti-Xa IU /kg x1
|
THR or TKR (stratified)
|
follow-up Day 14 or discharge
n=721/715
double blind
|
RD Heparin, 1994
|
Warfarin
versus
Ardeparin 50 anti-Xa IU /kg or 90 anti-Xa IU /kg x1
|
THR or TKR
|
follow-up 3 months
n=403/770
Open
|
Hamulyak, 1994
|
Acenocoumarol
versus
Nadroparin 60 anti-Xa IU /kg x1
|
THR or TKR (stratified)
|
follow-up Day 10 � 2
n=342/330
single blind
|
Leclerc, 1996
|
Warfarin
versus
Enoxaparin 30 mg x2
|
TKR
|
follow-up 6 months
n=334/336
double blind
|
Francis, 1997
|
Warfarin
versus
Dalteparin 5000 anti-Xa IU x1
|
THR
|
follow-up Day 7 � 2
n=292/288
Open
|
Heit, 1997
|
Warfarin
versus
Ardeparin 25, 35, 50 anti-Xa U /kg x2
|
TKR
|
follow-up Days 5�14
n=279/554
double blind
|
Colwell, 1999
|
Warfarin
versus
Enoxaparin 30 mg x2
|
THR
|
follow-up 3 months
n=1495/1516
Open
|
Hull, 2000
|
Warfarin
versus
Dalteparin 5000 anti-Xa IU x1
|
THR
|
follow-up Day 6 � 2
n=489/983
double blind
|
Fitzgerald, 2001
|
Warfarin
versus
Enoxaparin 30 mg x2
|
TKR
|
follow-up 3 weeks
n=176/173
Open
|
Samama, 2001
|
Acenocoumarol
versus
Reviparin 4200 anti-Xa IU x1
|
THR
|
follow-up 6 weeks
n=645/644
Open
|
Borsgtrom, 1965
|
Dicoumarol
versus
No treatment
|
HFS
|
follow-up 3�4 weeks
n=29/29
Open
|
Eskeland, 1966
|
Phenindione
versus
No treatment
|
HFS
|
follow-up 3 months
n=100/100
Open
|
Myrhe, 1969
|
Wwarfarin
versus
Placebo
|
HFS
|
follow-up 3 weeks
n=50/55
double blind
|
Hamilton, 1970
|
Phenindione
versus
No treatment
|
HFS
|
follow-up 3�10 months
n=38/38
Open
|
Pinto, 1970
|
Warfarin
versus
No treatment
|
Hip surgery
|
follow-up > 3 weeks
n=25/25
Open
|
Hume, 1973
|
Warfarin
versus
No treatment
|
THR
|
follow-up Discharge
n=17/19
Open
|
Morris, 1976
|
Warfarin
versus
No treatment
|
HFS
|
follow-up 3 months
n=80/80
Open
|
Powers, 1989
|
Warfarin
versus
No treatment
|
HFS
|
follow-up 3 months
n=65/63
Open
|
Myrhe, 1969
|
Warfarin
versus
Dextran 70
|
HFS
|
follow-up 3 weeks
n=50/55
double blind
|
Harris, 1972
|
Warfarin
versus
Dextran 40
|
THR
|
follow-up NA
n=114/113
Open
|
Barber, 1977
|
Warfarin
versus
Dextran 70
|
THR
|
follow-up 11�14 days
n=58/51
Open
|
Francis, 1983
|
Warfarin
versus
Dextran 40
|
THR or TKR (stratified)
|
follow-up 5�7 days
n=57/43
Open
|
Hume, 1973
|
Warfarin
versus
Sudoxicam
|
THR
|
follow-up Discharge
n=52/51
single blind
|
Powers, 1989
|
Warfarin
versus
Aspirin 650 mg x2
|
HFS
|
follow-up 3 months
n=65/66
Open
|
Lotke, 1997
|
Warfarin
versus
Aspirin 325 mg x2
|
THR or TKR (stratified)
|
follow-up 6 months
n=146/166
Open
|
Paiement, 1987
|
Warfarin
versus
IPC
|
THR
|
follow-up 12 days
n=80/83
Open
|
Bailey, 1991
|
Warfarin
versus
IPC
|
THR
|
follow-up 5�7 days
n=45/50
Open
|
Kaempffe, 1991
|
Warfarin
versus
IPC
|
THR or TKR (stratified)
|
follow-up At least 2 months
n=52/48
Open
|
Francis, 1992
|
Warfarin
versus
IPC
|
THR
|
follow-up 6�8 days
n=103/98
Open
|
Hume, 1973
|
Warfarin
versus
UFH 5000 x3
|
THR
|
follow-up Discharge
n=17/18
Open
|
Barber, 1977
|
Warfarin
versus
UFH 5000 x2
|
THR
|
follow-up 11�14 days
n=58/19
Open
|
Gerhart, 1991
|
Warfarin
versus
Danaparoid 750 U x2
|
HFS
|
follow-up 9 days
n=131/132
Open
|
van Comp, 1998
|
Warfarin
versus
Danaparoid 750 U x2
|
THR
|
follow-up 3 months
n=247/241
Open
|
van Geloven, 1977
|
Acenocoumarol
versus
UFH 4000 �x2
|
THR
|
follow-up NA
n=11/11
double blind
|
Williams , 1978
|
UFH twice daily for 14 days
versus
placebo
|
elective orthopedic surgery
|
follow-up
n=106/106
|
Abraham-Inpijn , 1975
|
UFH twice daily for 8 days
versus
placebo
|
elective orthopedic surgery
|
follow-up
n=12/13
|
Lowe , 1981
|
UFH twice daily for 16 days
versus
placebo
|
elective orthopedic surgery
|
follow-up
n=51/49
|
Morris, 1974
|
UFH twice daily for 10 days
versus
no treatment
|
elective orthopedic surgery
|
follow-up
n=36/36
|
Welin-Berger, 1982
|
UFH twice daily for 7 days
versus
no treatment
|
elective orthopedic surgery
|
follow-up
n=20/20
|
Bergqvist , 1979
|
UFH twice daily for 5 days
versus
no treatment
|
elective orthopedic surgery
|
follow-up
n=84/77
|
Hampson, 1974
|
UFH 3 times daily for 7- 10 days
versus
placebo
|
elective orthopedic surgery
|
follow-up
n=48/52
|
Moskovitz, 1978
|
UFH 3 times daily for 7 days
versus
placebo
|
elective orthopedic surgery
|
follow-up
n=35/32
|
VTCSG, 1975
|
UFH twice daily for 10 days
versus
no treatment
|
elective orthopedic surgery
|
follow-up
n=34/30
|
Mannucci , 1976
|
UFH 3 times daily for 7 days
versus
no treatment
|
elective orthopedic surgery
|
follow-up
n=23/24
|
Dechavanne, 1974
|
UFH 3 times daily for 10 days
versus
no treatment
|
elective orthopedic surgery
|
follow-up
n=29/29
|
Dechavanne, 1975
|
UFH 3 times daily for 10 days
versus
no treatment
|
elective orthopedic surgery
|
follow-up
n=20/21
|
Lahnborg, 1980
|
UFH twice daily for 10 days
versus
placebo
|
traumatic orthopedic surgery
|
follow-up
n=70/69
|
Xabregas , 1977
|
UFH twice daily for 14 days
versus
placebo
|
traumatic orthopedic surgery
|
follow-up
n=27/26
|
Bergqvist, 1979
|
UFH twice daily for 5 days
versus
no treatment
|
traumatic orthopedic surgery
|
follow-up
n=32/23
|
Galasko , 1976
|
UFH twice daily (duration unknown)
versus
no treatment
|
traumatic orthopedic surgery
|
follow-up
n=50/50
|
Moskovitz, 1978
|
UFH 3 times daily for 7 days
versus
placebo
|
traumatic orthopedic surgery
|
follow-up
n=29/23
|
Svend-Hansen, 1981
|
UFH 3 times daily for 14 days
versus
placebo
|
traumatic orthopedic surgery
|
follow-up
n=65/65
|
Gallus , 1973
|
UFH 3 times daily for A
versus
no treatment
|
traumatic orthopedic surgery
|
follow-up
n=23/23
|
Morris , 1977
|
UFH 3 times daily for 10 days
versus
no treatment
|
traumatic orthopedic surgery
|
follow-up
n=24/24
|
ODIXa-HIP 10mg, 2006
|
rivaroxaban 10mg daily for 5�9 days
versus
once-daily subcutaneous enoxaparin dose of 40 mg for 5�9 days
|
patients undergoing elective total hip replacement
|
follow-up 5-9 days
n=142/157
Parallel groups
double blind
Europe, Israel
|
ODIXa-KNEE, 2005
|
BAY 59-7939 5mg b.i.d. for 5�9 days
versus
enoxaparin 30 mg b.i.d. for 5�9 days
|
patients undergoing elective total knee replacement
|
follow-up 5-9 days
n=102/105
Parallel groups
double blind
North America
|
APROPOS 2.5mg, 2007
NCT00097357
|
apixaban 2.5mg BID for 12 days
versus
enoxaparin 30mg twice daily for 12 days
|
patients undergoing elective total knee replacement surgery
|
follow-up 12 days
n=153/152
Parallel groups
double blind
|
Turpie, 2001
|
pentasaccharide Org31540/SR90107A subcutaneous once daily at doses 0.75 mg, 1.5 mg, 3.0 mg, 6.0 mg, and 8.0 mg
versus
enoxaparin 30mg once daily subcutaneous
|
patients undergoing total hip replacement
|
follow-up >15 days
n=673/260
Parallel groups
double blind
US, Canada, Autralia
|
DRIVE, 2008
NCT00338897
|
SR123781A for 5-10 days, doses ranging from 0.25 to 4.0 mg daily for 10 days
versus
enoxaparin 40 mg
|
patients undergoing total hip replacement surgery
|
follow-up 5-10 days
n=854/169
Parallel groups
double blind
12 countries
|
RECORD 1, 2008
NCT00329628
|
rivaroxaban 10mg once daily for 35 days
versus
enoxaparin 40mg subcutaneous once daily for 31-39 days
|
patients undergoing total hip arthroplasty
|
follow-up 36 days (range 30-42)
n=2266/2275
Parallel groups
double blind
27 countries worldwide
|
RECORD 2, 2008
NCT00332020
|
extended thromboprophylaxis with rivaroxaban 10mg once daily for 31-39 days
versus
enoxaparin 40mg subcutaneous once daily for 10-14 days
|
patients undergoing elective total hip replacement
|
follow-up 30-42 days
n=1252/1257
Parallel groups
double blind
21 countries worldwide
|
RECORD 3, 2008
NCT00361894
|
rivaroxaban 10 mg once daily for 10- 14 days
versus
enoxaparin 40 mg subcutaneous once daily for 10-14 days
|
patients undergoing total knee arthroplasty
|
follow-up 13-17 days
n=1254/1277
Parallel groups
double blind
19 countries worldwide
|
RECORD 4, 2009
NCT00362232
|
rivaroxaban 10mg once daily for 10 to 14 days
versus
enoxaparin 30 mg twice daily by subcutaneous injection for 10-14 days
|
patients who had undergone total-knee-replacement surgery
|
follow-up 40 days
n=1584/1564
Parallel groups
double blind
12 countries
|
Bergqvist, 1996
|
in hospital thromboprophylaxis followed by out of hospital Enoxaparin 40 mg once a day for a total duration of 30 days
versus
Enoxaparin 40 mg once a day for 10-11 days
|
THR
|
follow-up
n=117/116
|
Planes, 1996
|
in hospital thromboprophylaxis followed by out of hospital Enoxaparin 40 mg once a day for a total duration of 35 days
versus
Enoxaparin 40 mg once a day for 13-15 days
|
THR
|
follow-up
n=90/89
|
Dahl, 1997
|
in hospital thromboprophylaxis followed by out of hospital Dalteparin 5000 IU once a day for a total duration of 35 days
versus
Dalteparin 5000 IU once a day for 7 days (dextran day 0 and day 1)
|
THR
|
follow-up
n=134/131
|
Lassen, 1998
|
in hospital thromboprophylaxis followed by out of hospital Dalteparin 5000 IU once a day for a total duration of 35 days
versus
Dalteparin 5000 IU once a day for 7 days
|
THR
|
follow-up
n=140/141
|
Manganelli, 1998
|
in hospital thromboprophylaxis followed by out of hospital UFH 5000 IU three times a day for a total duration of 30 days
versus
UFH 5000 IU three times a day for 15 days
|
THR
|
follow-up
n=79/80
|
NPHDO, 1998
|
in hospital thromboprophylaxis followed by out of hospital Nadroparin weight-adjusted for a total duration of 37-38 days
versus
Nadroparin weight-adjusted for 16-17 days
|
THR
|
follow-up
n=173/173
|
Heit, 2000
|
in hospital thromboprophylaxis followed by out of hospital Ardeparin 100 IU/kg once a day for a total duration of 42 days
versus
Ardeparin 50 IU/kg twice a day for 4-10 days
|
THR or TKR
|
follow-up
n=589/572
|
Hull, 2000
|
in hospital thromboprophylaxis followed by out of hospital Dalteparin 5000 IU once a day for a total duration of 35 days
versus
Dalteparin 5000 IU once a day or warfarin for 6 days
|
THR
|
follow-up
n=389/180
|
Comp, 2001
|
in hospital thromboprophylaxis followed by out of hospital Enoxaparin 40 mg once a day for a total duration of 27-29 days
versus
Enoxaparin 30 mg twice a day for 7-10 days
|
THR or TKR
|
follow-up
n=441/432
|
Cohen (L8405), 2007
|
fondaparinux 2.5mg plus graduated compression stockings
versus
fondaparinux 2.5mg daily
|
patients undergoing elective or emergency hip surgery
|
follow-up 42 days
n=426/430
Parallel groups
open
Brazil, UK, Hong Kong, Spain
|
Ericksson, 1997
|
desirudin 15mg SC twice daily for 8-12 days
versus
enoxaparin 40mg once daily for 8-12 days
|
Patients who undergo total hip replacement
|
follow-up
n=-9/-9
Parallel groups
double blind
Europe
|
REVASC, 1997
|
desirudin 15mg twice daily
versus
unfractionated heparin 5000 IU three times a day
|
patients having a primary elective total hip replacement
|
follow-up
n=225/220
Parallel groups
|
Eriksson, 1996
|
recombinant hirudin, desirudin (CGP 39393) 10, 15, or 20 mg twice daily started just before surgery and continued for 8-11 days
versus
unfractionated heparin 5000 IU three times daily started just before surgery and continued for 8-11 days
|
patients undergoing elective hip surgery
|
follow-up
n=1119/0
Parallel groups
double blind
Europe
|
ADVANCE 3, 2010
NCT00423319
|
apixaban 2.5mg twice daily for 35 days
versus
enoxaparin 40mg once daily for 35 days
|
patients undergoing elective total hip replacement surgery
|
follow-up 35 days (+60)
n=2708/2699
Parallel groups
double blind
21 countries
|
ADVANCE 2, 2010
NCT00452530
|
apixaban 2.5mg twice daily during 12 days
versus
enoxaparin 40mg once daily 12 days
|
patients undergoing elective unilateral or bilateral total knee replacement
|
follow-up 12 days
n=1528/1529
Parallel groups
double blind
27 countries
|
L8541, 0
|
fondaparinux 2.5mg subcutaneous once-daily for 7+/-2 days
versus
enoxaparin 40mg s.c. once-daily
|
chinese patients undergoing major orthopaedic surgery of the lower limbs
|
follow-up 9 days (49d)
n=119/118
Parallel groups
single-blind
China
|
L8635, 0
|
Fondaparinux 2.5mg once daily subcutaneously for 7 days
versus
enoxaparin 40mg once daily SC for 7 days
|
Taiwanese patients undergoing elective knee replacement
|
follow-up 10 days
n=28/23
Parallel groups
open, blind assessment
Taiwan
|
DRI4757, 0
|
fondaparinux subcutaneously at 0.75, 1.5, 2.5, and 3.0 mg for at least 10 calendar days, (with a maximum of 14 days)
versus
placebo
|
Japanese patients undergoing elective total knee replacement surgery
|
follow-up 14 days
n=345/87
Parallel groups
double blind
Japan
|
RE-NOVATE 2, 0
NCT00657150
|
dabigatran 220mg once daily for 28-35 Days
versus
enoxaparin 40mg subcutaneous once daily for 28-35 Days
|
patients undergoing total hip-replacement surgery
|
follow-up 28-35 days (mean 32d)
n=1010/1003
Parallel groups
double-blind
|
Wood , 1973
|
RA233; Aspirin 600mg daily +RA233
versus
placebo
|
traumatic orthopaedic surgery
|
follow-up
n=21/9
|
Zekert-I , 1974
|
Aspirin 1500mg daily
versus
placebo
|
patients undergoing surgery of hip-joint proximal fractures
|
follow-up
n=138/140
Parallel groups
double-blind
|
Morris-A , 1977
|
dipyridamole
versus
control
|
elderly patients with hip fractures
|
follow-up
n=24/24
Parallel groups
open
|
Morris-B , 1977
|
Aspirin 900 mg daily + dipyridamole
versus
control
|
elderly patients with hip fractures
|
follow-up
n=32/32
Parallel groups
open
|
Mocris-C , 1977
|
Flurbiprofen
versus
control
|
elderly patients with hip fractures
|
follow-up
n=20/20
Parallel groups
open
|
Powers , 1976
|
A1300
versus
placebo
|
traumatic orthopaedic surgery
|
follow-up
n=66/63
|
Danish-A , 1976
|
Hydroxychloroquine sulphate
versus
placebo
|
patients with fractures of the hip, pelvis, or thoracolumbar spine
|
follow-up
n=48/50
Parallel groups
double-blind
|
Danish-B , 1976
|
Hydroxychloroquine sulphate
versus
placebo
|
patients with fractures of the hip, pelvis, or thoracolumbar spine
|
follow-up
n=27/28
Parallel groups
|
Massachusetts-I , 1981
|
Aspirin 1200mg daily, Aspirin 1200mg daily + hydroxychloroquine 300 mg b.i.d.
versus
control
|
patients with upper femoral fractures
|
follow-up
n=50/25
Parallel groups
open
|
Encke-II , 1976
|
Aspirin 1500mg daily, Aspirin 990mg daily + dipyridamol
versus
placebo
|
patients with abdominal operations
|
follow-up
n=34/25
Parallel groups
double-blind
|
Erfurt-B , 1979
|
A1500
versus
placebo
|
traumatic orthopaedic surgery
|
follow-up
n=44/44
double-blind
|
STARS J-V,
|
edoxaban 30 mg once daily for 11 to 14 days
versus
subcutaneous enoxaparin 2,000 IU, equivalent to 20 mg, twice daily (BID) for 11 to 14 days
|
total hip arthroplasty
|
follow-up
n=255/248
Parallel groups
double-blind
japan
|
NCT00320398, 0
NCT00320398
|
Fondaparinux
versus
|
patients undergoing either an elective primary total hip replacement (THR) surgery or a revision of a THR
|
follow-up
n=-9/-9
double-blind
Japan
|
References
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Soreff J, Johnsson H, Diener L, G�ransson LAcetylsalicylic acid in a trial to diminish thromboembolic complications after elective hip surgery.
Acta Orthop Scand 1975;46:246-55
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Lyon-I, 1975 :
Dechavanne M, Ville D, Viala JJ, Kher A, Faivre J, Pousset MB, Dejour HControlled trial of platelet anti-aggregating agents and subcutaneous heparin in prevention of postoperative deep vein thrombosis in high risk patients.
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[PMID 1205340]
Massachusetts-II, 1976 :
Chrisman OD, Snook GA, Wilson TC, Short JYPrevention of venous thromboembolism by administration of hydroxychloroquine. A preliminary report.
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Pasteyer, 1977 :
Flicoteaux H, Kher A, Jean N, Blery M, Judet T, Honnart F, et al. Comparison of low dose heparin and low dose herparin combined with aspirin in prevention of deep vein thrombosis after total hip replacement.
Pathol Biol (Paris) 1977;25(suppl):55-8.
[PMID ]
Harris-I, 1977 :
Harris WH, Salzman EW, Athanasoulis CA, Waltman AC, DeSanctis RWAspirin prophylaxis of venous thromboembolism after total hip replacement.
N Engl J Med 1977;297:1246-9
[PMID 335247]
McKenna-I, 1980 :
McKenna R, Galante J, Bachmann F, Wallace DL, Kaushal PS, Meredith PPrevention of venous thromboembolism after total knee replacement by high-dose aspirin or intermittent calf and thigh compression.
Br Med J 1980;280:514-7
[PMID 6989432]
Sautter, 1983 :
Sautter RD, Koch EL, Myers WO, Ray JR 3rd, Mazza JJ, Larson DE, Chen HM, Milbauer JP, Treuhaft PS, Plotka EDAspirin-sulfinpyrazone in prophylaxis of deep venous thrombosis in total hip replacement.
JAMA 1983;250:2649-54
[PMID 6355542]
Cooke, 1977 :
Cooke ED, Dawson MH, Ibbotson RM, Bowcock SA, Ainsworth ME, Pilcher MFFailure of orally administered hydroxychloroquine sulphate to prevent venous thromboembolism following elective hip operations.
J Bone Joint Surg Am 1977;59:496-500
[PMID 325009]
Rocha, 1986 :
Alfaro MJ, P�ramo JA, Rocha EProphylaxis of thromboembolic disease and platelet-related changes following total hip replacement: a comparative study of aspirin and heparin-dihydroergotamine.
Thromb Haemost 1986;56:53-6
[PMID 3535158]
McKenna-II, 1983 :
McKenna R, Galante J, Molony B, Kamm B. Failure of ticlopidine hydrochloride to prevent DVT in orthopedic patients
Blood 1983;62(suppl I):304A
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Eriksson BI, Borris L, Dahl OE, Haas S, Huisman MV, Kakkar AK, Misselwitz F, K�lebo POral, direct Factor Xa inhibition with BAY 59-7939 for the prevention of venous thromboembolism after total hip replacement.
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Turpie AG, Gallus AS, Hoek JAA synthetic pentasaccharide for the prevention of deep-vein thrombosis after total hip replacement.
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Lassen MR, Dahl O, Mismetti P, Zielske D, Turpie AGSR123781A: a new once-daily synthetic oligosaccharide anticoagulant for thromboprophylaxis after total hip replacement surgery: the DRIVE (Dose Ranging Study in Elective Total Hip Replacement Surgery) study.
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Haentjens P.9Venous thromboembolism after total hip arthroplasty: areview of incidence and prevention during hospitalization and afterhospital dischargel
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Lassen MR, Raskob GE, Gallus A, Pineo G, Chen D, Portman RJApixaban or enoxaparin for thromboprophylaxis after knee replacement.
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Lassen MR, Gallus A, Raskob GE, Pineo G, Chen D, Ramirez LMApixaban versus Enoxaparin for Thromboprophylaxis after Hip Replacement.
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ADVANCE 2, 2010 :
Lassen MR, Raskob GE, Gallus A, Pineo G, Chen D, Hornick PApixaban versus enoxaparin for thromboprophylaxis after knee replacement (ADVANCE-2): a randomised double-blind trial.
Lancet 2010 Mar 6;375:807-15
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Morris GK, Mitchell JRPreventing venous thromboembolism in elderly patients with hip fractures: studies of low-dose heparin, dipyridamole, aspirin, and flurbiprofen.
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Morris GK, Mitchell JRPreventing venous thromboembolism in elderly patients with hip fractures: studies of low-dose heparin, dipyridamole, aspirin, and flurbiprofen.
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Hansen EH, Jessing P, Lindewald H, Ostergaard P, Olesen T, Malver EIHydroxychloroquine sulphate in prevention of deep venous thrombosis following fracture of the hip, pelvis, or thoracolumbar spine.
J Bone Joint Surg Am 1976;58:1089-93
[PMID 1002750]
Danish-B , 1976 :
Hansen EH, Jessing P, Lindewald H, Ostergaard P, Olesen T, Malver EIHydroxychloroquine sulphate in prevention of deep venous thrombosis following fracture of the hip, pelvis, or thoracolumbar spine.
J Bone Joint Surg Am 1976;58:1089-93
[PMID 1002750]
Massachusetts-I , 1981 :
Snook GA, Chrisman OD, Wilson TCThromboembolism after surgical treatment of hip fractures.
Clin Orthop Relat Res 1981;:21-4
[PMID 7014058]
Encke-II , 1976 :
Encke A, Stock C, Dumke HO[Double-blind study for the prevention of postoperative thrombosis]
Chirurg 1976;47:670-3
[PMID 1001131]
Erfurt-B , 1979 :
Hartung B, Schreiber U, R�diger H[Study of the platelet aggregation inhibitor MICRISTIN as to its efficacy in the prevention of thromboembolism in the postoperative phase following surgical interventions]
Folia Haematol Int Mag Klin Morphol Blutforsch 1979;106:810-27
[PMID 94873]