Review: heparin and mechanical pumping devices reduce deep venous thrombosis after surgery for hip fracture
- hip fractures
- postoperative complications
- heparin (low-molecular-weight)
- fibrinolytic agents
- pulmonary embolism
- venous thrombosis
QUESTION: Do unfractionated heparin (UH), low molecular weight heparin (LMWH), or physical methods (compression stockings and calf or foot pumps) prevent deep venous thrombosis (DVT) and pulmonary embolism (PE) after surgery for hip fracture in elderly patients?
Studies were identified by searching Medline (1966 to March 2002), CINAHL (1982 to February 2002), EMBASE/Excerpta Medica (1980 to March 2002), Current Contents (1993 Week 26 to 2002 Week 12), and the Cochrane Musculoskeletal Injuries Group specialised register (to March 2002); reviewing reference lists of identified trials and review articles; and contacting colleagues, trialists, and manufacturers. Randomised controlled trials (RCTs) in languages other than English were also included.
Randomised or quasi-randomised clinical trials were included if they evaluated interventions to reduce DVT and PE in patients having surgery for proximal femoral fracture. Interventions included injectable anticoagulants (UH …