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Evidence-Based Nursing 2009;12:79; doi:10.1136/ebn.12.3.79
Copyright © 2009 by BMJ Publishing Group Ltd & RCN Publishing Company Ltd.

TREATMENT

Review: low molecular weight heparin reduces risk of venous thromboembolism in adults with leg immobilisation

The first 150 words of the full text of this article appear below.

QUESTION

In adults with leg immobilisation, does low molecular weight heparin (LMWH) prevent venous thromboembolism (VTE)?

REVIEW SCOPE

Included studies compared LMWH with placebo or no thromboprophylaxis in adults with a leg injury requiring immobilisation in a plaster cast or brace in an ambulatory setting. Outcomes were symptomatic or asymptomatic VTE (deep venous thrombosis [DVT] or pulmonary embolism) and bleeding events.

REVIEW METHODS

Cochrane Peripheral Vascular Diseases Group Specialised Register, PubMed, and EMBASE/Excerpta Medica (May 2008); Cochrane Central Register of Controlled Trials (Issue 2, 2008); and reference lists were searched for randomised controlled trials (RCTs) and controlled clinical trials. Pharmaceutical companies were consulted. 6 RCTs (n = 1490, mean age 34–49 y, 46–79% men) met the selection criteria. DVT was diagnosed by venography or by compression ultrasonography and/or duplex scanning confirmed by phlebography or venography. 4 trials reported adequate concealment of allocation, 3 placebo-controlled trials were double-blinded, and the outcome assessor was blinded in 1 . . . [Full text of this article]

Patricia Rosier

Berkshire Medical Centre, Pittsfield, Massachusetts, USA


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