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August 1, 1975Archives of Surgery

Low-Dose Heparin in Postoperative Patients

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Why the study?

Does subcutaneous heparin sodium 5,000 IU reduce the incidence of deep vein thrombosis in patients over age 40 undergoing major operations?

Population

105 patients over age 40 undergoing various major operations

Comparison

Heparin sodium 5,000 international units… vs Placebo subcutaneous injection one hour prior to…

Design

RCT, randomly divided

Follow-up

8 days

Authors

TCThomas H. CoveyWest Virginia University

Discussion

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Overview

Low-dose heparin does not reduce postoperative DVT; challenges routine prophylaxis in patients over 40 undergoing major operations.

Structured PICO

Does subcutaneous heparin sodium 5,000 IU reduce the incidence of deep vein thrombosis in patients over age 40 undergoing major operations?

P
Population
105 patients over age 40 undergoing various major operations
I
Intervention
Heparin sodium 5,000 international units subcutaneous injection one hour prior to operation and every 12 hours thereafter for eight days
C
Comparator
Placebo subcutaneous injection one hour prior to operation and every 12 hours thereafter for eight days
O
Outcome
Deep vein thrombosis (DVT) detected by daily 125I-fibrinogen injection and leg scanning, and confirmed by ascending phlebographyhard clinical

Low-dose subcutaneous heparin did not substantially reduce the incidence of DVT compared to placebo in patients over 40 undergoing major operations, though it did not increase blood loss.

Cite This Study

Thomas H. Covey (1975) studied this question.

synapsesocial.com/papers/6a851f8ff2bb7ee68cf23ce2https://doi.org/10.1001/archsurg.1975.01360140165032

Topics

Pulmonary embolism
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Also Consider

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

  1. 1Small Subcutaneous Doses of Heparin in Prevention of Venous Thrombosis1973 · 426 citations
  2. 2EFFICACY OF LOW DOSES OF HEPARIN IN PREVENTION OF DEEP-VEIN THROMBOSIS AFTER MAJOR SURGERY1973 · 87 citations
  3. 3Reduction in Venous Thromboembolism by Agents Affecting Platelet Function1971 · 200 citations
  4. 4Postoperative Thromboembolism1973 · 33 citations
  5. 5A Rapid, Simple, Sensitive Method for Measuring Fibrinolytic Split Products in Human Serum1969 · 415 citations