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December 19, 1990Open Access

Prophylaxis of venous thromboembolism.

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Key result

Low-dose subcutaneous heparin is unequivocally effective in preventing deep vein thrombosis and significantly reduces fatal postoperative pulmonary embolism and total mortality.

Why the study?

Does prophylaxis with heparin or mechanical methods prevent fatal pulmonary embolism and DVT in high-risk surgical and medical patients?

Population

Patients over 40 years of age undergoing major surgery, younger patients with a history of venous…

Design

Review

Authors

VKV V KakkarThrombosis Research InstituteMSM D StringerLeeds General Infirmary

Discussion

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Overview

Supports perioperative heparin prophylaxis; leaves open cost-effectiveness versus LMWH in contemporary cohorts.

Structured PICO

Does prophylaxis with heparin or mechanical methods prevent fatal pulmonary embolism and DVT in high-risk surgical and medical patients?

P
Population
Patients over 40 years of age undergoing major surgery, younger patients with a history of venous thromboembolism, patients over 60 years of age undergoing major surgery, those with malignancy, and those requiring hip operations.
I
Intervention
Low-dose subcutaneous heparin (5,000 IU commencing 2 hours preoperatively and continuing 12 hourly), low molecular weight heparin fragments (once daily), or mechanical methods (graduated elastic compression stockings).
O
Outcome
Prevention of fatal pulmonary embolism and reduction of morbidity associated with deep vein thrombosis (DVT) and the postphlebitic limb.hard clinical

Low-dose heparin and low molecular weight heparins are effective for venous thromboembolism prophylaxis in high-risk surgical and medical patients, significantly reducing fatal pulmonary embolism and mortality.

Cite This Study

Kakkar et al. (1990) conducted a review in Venous thromboembolism. Low-dose subcutaneous heparin was evaluated. Low-dose subcutaneous heparin is unequivocally effective in preventing deep vein thrombosis and significantly reduces fatal postoperative pulmonary embolism and total mortality.

synapsesocial.com/papers/6a6c34db79eb7ca170248ac8https://doi.org/10.1007/bf01658824
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Also Consider

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  1. 1Treatment of deep-vein thrombosis with streptokinase1969 · 53 citations
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  3. 3A Randomized Controlled Trial of a Low-Molecular-Weight Heparin (Enoxaparin) to Prevent Deep-Vein Thrombosis in Patients Undergoing Elective Hip Surgery1986 · 523 citations
  4. 4The influence of electrical stimulation of the leg during surgical operations on the subsequent development of deep-vein thrombosis1973 · 22 citations
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