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January 5, 1979JAMA

Prophylaxis for postoperative deep-vein thrombosis. Synergistic effect of heparin and dihydroergotamine

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Why the study?

Does the combination of dihydroergotamine and heparin prevent postoperative deep-vein thrombosis more effectively than either agent alone in patients undergoing major abdominal surgery or hip replacement arthroplasty?

Population

300 patients undergoing major abdominal surgery or hip replacement arthroplasty

Comparison

Combination of dihydroergotamine mesylate and… vs Heparin calcium alone or dihydroergotamine…

Design

RCT, Randomized

Follow-up

postoperative

Authors

VKV. V. Kakkar

Discussion

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Implication

Supports combined prophylaxis after major surgery; confirms synergistic benefit over monotherapy in RCT.

Structured PICO

Does the combination of dihydroergotamine and heparin prevent postoperative deep-vein thrombosis more effectively than either agent alone in patients undergoing major abdominal surgery or hip replacement arthroplasty?

P
Population
300 patients undergoing major abdominal surgery or hip replacement arthroplasty
I
Intervention
Combination of dihydroergotamine mesylate and heparin calcium
C
Comparator
Heparin calcium alone or dihydroergotamine mesylate alone
O
Outcome
Postoperative deep-vein thrombosis (DVT) diagnosed by iodine 125 labeled fibrinogen uptake test and/or phlebographyhard clinical

The combination of dihydroergotamine and heparin provides a synergistic effect, proving more effective than either agent alone for DVT prophylaxis after major surgery.

Cite This Study

V. V. Kakkar (1979) studied this question.

synapsesocial.com/papers/6a99cc41cbeb9500cf45a239https://doi.org/10.1001/jama.241.1.39
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Also Consider

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

  1. 1Prophylaxis for Postoperative Deep-Vein Thrombosis1979 · 95 citations
  2. 2Dihydroergotamine-Heparin Prophylaxis of Postoperative Deep Vein Thrombosis1984 · 72 citations
  3. 3Low molecular weight heparin plus dihydroergotamine for prophylaxis of postoperative deep vein thrombosis1986 · 61 citations
  4. 4Heparin/dihydroergotamine for venous thrombosis prophylaxis: comparison of low-dose heparin and low molecular weight heparin in hip surgery1988 · 47 citations
  5. 5Heparin and dihydroergotamine prophylaxis against thrombo-embolism after hip arthroplasty1985 · 64 citations