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September 4, 1997New England Journal of Medicine789 citationsOpen Access

Low-Molecular-Weight Heparin in the Treatment of Patients with Venous Thromboembolism

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TIThe Columbus Investigators

Structured PICO

Is fixed-dose, subcutaneous low-molecular-weight heparin as effective and safe as adjusted-dose, intravenous unfractionated heparin for the initial management of venous thromboembolism?

P
Population
Patients with venous thromboembolism, including those with pulmonary embolism or a history of venous thromboembolism
I
Intervention
Fixed-dose, subcutaneous low-molecular-weight heparin
C
Comparator
Adjusted-dose, intravenous unfractionated heparin
O
Outcome
Effectiveness and safety for initial management

Fixed-dose subcutaneous low-molecular-weight heparin is an effective and safe alternative to intravenous unfractionated heparin for the initial management of venous thromboembolism.

Abstract

Fixed-dose, subcutaneous low-molecular-weight heparin is as effective and safe as adjusted-dose, intravenous unfractionated heparin for the initial management of venous thromboembolism, regardless of whether the patient has pulmonary embolism or a history of venous thromboembolism.

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Cite This Study

The Columbus Investigators (1997) studied this question.

synapsesocial.com/papers/69dd13e4a6f240e91f13369ahttps://doi.org/10.1056/nejm199709043371001
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Comparison of Low-Molecular-Weight Heparin Administered Primarily at Home with Unfractionated Heparin Administered in the Hospital for Proximal Deep-Vein Thrombosis1996 · 1,197 citations
  2. 2Treatment of Venous Thrombosis with Intravenous Unfractionated Heparin Administered in the Hospital as Compared with Subcutaneous Low-Molecular-Weight Heparin Administered at Home1996 · 1,118 citations
  3. 3Treatment of deep venous thrombosis with low-molecular-weight heparins. A meta-analysis1995 · 387 citations
  4. 4Epidemiology of venous thromboembolism2015 · 1,188 citations
  5. 5NEED FOR LONG-TERM ANTICOAGULANT TREATMENT IN SYMPTOMATIC CALF-VEIN THROMBOSIS1985 · 573 citations