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Review: heparin and mechanical pumping devices reduce deep venous thrombosis after surgery for hip fracture

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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?

Data sources

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 …

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Footnotes

  • Source of funding: Chief Scientist Office, Department of Health, Scottish Office, UK.

  • For correspondence: Dr H H Handoll, University of Teesside, c/o University Department of Orthopaedic Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK. h.handoll{at}ed.ac.uk