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Heparins and mechanical methods for thromboprophylaxis in ...

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Characteristics of <strong>in</strong>cluded studies (Cont<strong>in</strong>ued )NotesAllocation concealmentDiagnosis: Either radiofibr<strong>in</strong>ogen uptake test or phlebography. Daily.20 patients miss<strong>in</strong>g. No <strong>in</strong>tention to treat analysis.Balanced distribution of colorectal patients.BStudy Kosir 1996MethodsParticipantsInterventionsOutcomesNotesAllocation concealmentRCT. Unclear r<strong>and</strong>omiz<strong>in</strong>g procedure. Not bl<strong>in</strong>ded. No primary stratification of colorectal patients.Elective general surgery patients. Subgroup of 12 colorectal patients. 137 r<strong>and</strong>omized patients. 29 excluded.Leav<strong>in</strong>g 108 <strong>in</strong> per protocol analysis. Subgroup of Colorectal patients were distributed with respectively 17% , 25% <strong>and</strong> 58 % <strong>in</strong> the three treatment group.Intermittent compression: Intermittent compression peroperatively <strong>and</strong> <strong>for</strong> 48 hours postoperatively.LDH: 5000 units of unfractionated hepar<strong>in</strong> preoperatively <strong>and</strong> x2 postoperatively <strong>for</strong> seven days.Control: No treatment.Thromboembolic events: DVTBleed<strong>in</strong>g events: Not described.Diagnosis: Doppler ultrasound at 1 th, 3 th <strong>and</strong> 30 th day.29 miss<strong>in</strong>g patients. No <strong>in</strong>tention to treat analysis. Unbalanced distribution of colorectal patients.BStudy Lahnborg 1974MethodsParticipantsInterventionsOutcomesNotesAllocation concealmentRCT. Coded vials. Patient-, surgeon- <strong>and</strong> outcome-assessor bl<strong>in</strong>ded. No primary stratification of colorectalpatients.Elective general surgery patients. 112 r<strong>and</strong>omized patients. Non excluded. Leav<strong>in</strong>g 112 patients <strong>in</strong> perprotocol analysis as well as <strong>in</strong> <strong>in</strong>tention to treat analysis. Subgroup of 19 colorectal patients were distributedwith respectively 58 % <strong>and</strong> 42 % <strong>in</strong> the two treatment arms.LDH: 5000 U unfractionated hepar<strong>in</strong> preoperatively <strong>and</strong> x2 postoperatively <strong>for</strong> five days.Control: Placebo <strong>in</strong>jection.Thromboembolic events: DVT, PE <strong>and</strong> TE.Bleed<strong>in</strong>g events: Not described.Diagnosis: Radiofibr<strong>in</strong>ogen uptake test.No miss<strong>in</strong>g patients.Balanced distribution of colorectal patients.AStudy Maressi 1993MethodsRCT. Unclear r<strong>and</strong>omization procedure. Open studyParticipantsElective gastro<strong>in</strong>test<strong>in</strong>al patientsInterventions LMWH: 3,825 I aXa Units preoperativelyControl: No treatmentOutcomesDVT def<strong>in</strong>ed as positive FUTNotesHalf of postive FUT were verified by venographyAllocation concealment BStudy Mcleod 2001MethodsRCT. Computer generated r<strong>and</strong>omization. Patient-, surgeon- <strong>and</strong> outcome-assesor bl<strong>in</strong>ded. Multicentricstudie.<strong>Hepar<strong>in</strong>s</strong> <strong>and</strong> <strong>mechanical</strong> <strong>methods</strong> <strong>for</strong> <strong>thromboprophylaxis</strong> <strong>in</strong> colorectal surgery (Review)Copyright © 2006 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd14

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