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Emerg Med J 21:711 doi:10.1136/emj.2004.019653
  • Best evidence topic reports

Low molecular weight heparin for intravenous drug users with deep vein thrombosis

Table 2
Author, date and country Patient group Study type (level of evidence) Outcomes Key results Study weaknesses
McKenzie AR et al, 2000, Scotland 20 consecutive IDUs presenting with iliofemoral DVT. LMWH given for median of seven weeks Cohort, retrospective case reports Incidence of recurrent DVT after three months. Incidence of symptomatic PE 8 patients asymptomatic, 7 persistent DVT (1 declined treatment), 5 lost to follow up. None with PE after starting treatment. Very small number of patients. Retrospective
Lawson WL et al, 2003, Scotland 130 IDUs over 1 year presenting with DVT. 98% had at least one dose of LMWH Cohort, retrospective audit Incidence of recurrent DVT and symptomatic PE Low rate of symptomatic PE Small number of patients Retrospective

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