Key result
In lung cancer patients with disseminated intravascular coagulation, high-dose thrombomodulin alfa (>380 U/kg/day) significantly improved the recovery rate compared to lower doses (52.4% vs 10.0%, p<0.05).
Why the study?
Does a higher dose of thrombomodulin alfa improve survival and recovery from disseminated intravascular coagulation in patients with lung cancer?
Cohort (n=57)
No
Does a higher dose of thrombomodulin alfa improve survival and recovery from disseminated intravascular coagulation in patients with lung cancer?
Administering thrombomodulin alfa at doses higher than the recommended 380 U/kg/day may improve survival in lung cancer patients who develop disseminated intravascular coagulation.
Answers are grounded in this paper and cite their sources.
May support early higher-dose TM-α in lung cancer DIC; hypothesis-generating and requires larger confirmatory trials.
=0.438, p<0.05). Conclusion Our findings suggest that although 380 U/kg/day of TM-α is the recommended dose for DIC treatment, a higher dose may reduce the mortality rate of lung cancer patients with DIC. Furthermore, TM-α should be initiated before worsening of DIC parameters.
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Nakano et al. (2017) conducted a cohort in Disseminated intravascular coagulation (DIC) (n=57). High dose thrombomodulin alfa vs. Low dose thrombomodulin alfa (<380 U/kg/day) was evaluated on Recovery rate from DIC in lung cancer patients (p=<0.05). In lung cancer patients with disseminated intravascular coagulation, high-dose thrombomodulin alfa (>380 U/kg/day) significantly improved the recovery rate compared to lower doses (52.4% vs 10.0%, p<0.05).
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