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Fixed dose subcutaneous low molecular weight heparins versus adjusted dose unfractionated heparin for venous thromboembolism

Cochrane Database of Systematic ReviewsPublished 25 October 1999
AGM van den Belt, MH Prins, A.W.A. Lensing, AA Castro, OAC Clark, AN Atallah
Citations107
SJR quartileQ1
SJR score1.62
SNIP2.04

TL;DR

LMWH significantly reduces the occurrence of major haemorrhage during initial treatment and overall mortality at follow up and is more effective than UFH for the initial treatment of VTE.

Abstract

Low molecular weight heparin is at least as effective as unfractionated heparin in preventing recurrent venous thromboembolism, and significantly reduces the occurrence of major haemorrhage during initial treatment and overall mortality at the end of follow-up. It can be adopted safely as the standard therapy for deep venous thrombosis, and studies comparing individual low molecular weight heparins are merited.

Keywords

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