骨科创伤患者服用阿司匹林与低分子量肝素的风险分层血栓预防效果:PREVENT CLOT 试验的二次分析。

Nathan N O'Hara, Robert V O'Toole, Katherine P Frey, Renan C Castillo, Joseph Cuschieri, Elliott R Haut, Gerard P Slobogean, Reza Firoozabadi, Ashley Christmas, William T Obremskey, Anthony R Carlini, Greg Gaski, Matthew E Kutcher, Debra Marvel, Deborah M Stein
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引用次数: 0

摘要

PREVENT CLOT试验得出结论,在预防骨科创伤后死亡方面,使用阿司匹林进行血栓预防并不优于低分子量肝素(LMWH)。但是,这些结果是否适用于血栓形成风险最高的患者尚不清楚。因此,我们根据患者的静脉血栓栓塞(VTE)基线风险评估了阿司匹林与 LMWH 的效果是否存在差异。
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Risk-stratified thromboprophylaxis effects of aspirin versus low-molecular-weight heparin in orthopaedic trauma patients: a secondary analysis of the PREVENT CLOT trial.
The PREVENT CLOT trial concluded that thromboprophylaxis with aspirin was noninferior to low-molecular-weight heparin (LMWH) in preventing death after orthopaedic trauma. However, it was unclear if these results applied to patients at highest risk of thrombosis. Therefore, we assessed if the effect of aspirin versus LMWH differed based on patients' baseline risk of venous thromboembolism (VTE).
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