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September 25, 2015Thrombosis and Haemostasis

Bleeding events with dabigatran or warfarin in patients with venous thromboembolism

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Why the study?

Does dabigatran reduce bleeding events compared to warfarin in patients with venous thromboembolism?

Population

5,107 patients with venous thromboembolism (pooled from RE-COVER and RE-COVER II trials)

Comparison

Dabigatran (treated for a mean of 164 days) vs Warfarin (treated for a mean of 164 days)

Design

Meta-analysis, double-dummy

Follow-up

mean 164 days

Authors

Samuel Z. Goldhaber
Samuel Z. GoldhaberVascular / Pulmonary Vascular
AKAjay K. KakkarVascular MedicineCKClive KearonVascular Medicine

Discussion

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Overview

Supports preferring dabigatran over warfarin to reduce bleeding in VTE; confirms pooled RCT evidence for NOAC use.

Structured PICO

Does dabigatran reduce bleeding events compared to warfarin in patients with venous thromboembolism?

P
Population
5,107 patients with venous thromboembolism (pooled from RE-COVER and RE-COVER II trials)
I
Intervention
Dabigatran (treated for a mean of 164 days)
C
Comparator
Warfarin (treated for a mean of 164 days)
O
Outcome
Incidence of any bleeding eventsafety

In patients with venous thromboembolism, dabigatran is associated with a significantly lower risk of bleeding compared to warfarin.

Cite This Study

Goldhaber et al. (2015) studied this question.

synapsesocial.com/papers/6a87f656eb5451a844aa6354https://doi.org/10.1160/th15-04-0319
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Also Consider

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

  1. 1Treatment of acute pulmonary embolism with dabigatran versus warfarin2016 · 28 citations
  2. 2Periprocedural Bleeding and Thromboembolic Events With Dabigatran Compared With Warfarin2012 · 540 citations
  3. 3Gastrointestinal Bleeding with Dabigatran, a Comparative Study with Warfarin: A Multicenter Experience2015 · 10 citations
  4. 4Management of gastrointestinal bleeding in patients anticoagulated with dabigatran compared with warfarin: a retrospective, comparative case review.2014 · 12 citations
  5. 5Risk of Bleeding With 2 Doses of Dabigatran Compared With Warfarin in Older and Younger Patients With Atrial Fibrillation2011 · 1,082 citations