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September 12, 1980JAMA137 citations

Predictors of Bleeding During Heparin Therapy

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AWAlexander M. Walker

Key Result

Among patients receiving heparin therapy, the 7-day cumulative risk for any bleeding was 9.1%, with higher risk associated with higher doses, female sex, severe illness, and aspirin use.

Study Design

Type

Observational (n=2,656)

Structured PICO

P
Population
2,656 patients receiving heparin sodium therapy evaluated for predictors of bleeding over 7 days.
E
Exposure
Heparin sodium therapy
O
Outcome
Bleeding (any, major, and minor)safety

Bleeding during heparin therapy is a dose-related phenomenon with a 9.1% 7-day cumulative risk, and is strongly predicted by female sex, severe illness, concomitant aspirin use, and heavy alcohol consumption.

Abstract

Among 2,656 patients receiving heparin sodium therapy, bleeding was a dose-related phenomenon that occurred most commonly among women, severely ill patients, and patients who received asprin during heparin therapy. Except for dose, factors that predisposed patients to bleeding were more strongly associated with major bleeding than with minor bleeding. Heavy alcohol drinkers were at particularly high risk for major bleeding episodes during heparinization. The seven-day cumulative risk for any bleeding was 9.1%. Risk was greatest on the third day of heparin administration.

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Cite This Study

Alexander M. Walker (1980) conducted an observational in Patients receiving heparin sodium therapy (n=2,656). Heparin sodium therapy was evaluated on Any bleeding. Among patients receiving heparin therapy, the 7-day cumulative risk for any bleeding was 9.1%, with higher risk associated with higher doses, female sex, severe illness, and aspirin use.

synapsesocial.com/papers/6a223949e8ef4064f24ed1c6https://doi.org/10.1001/jama.1980.03310110019020
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