Author, date and country | Patient group | Study type (level of evidence) | Outcomes | Key results | Study weaknesses |
---|---|---|---|---|---|
Gehling et al, January 1998, Germany | 287 patients presenting with lower extremity injuries, who required immobilising bandages or casts | Randomised controlled trial in which thromboprophylaxis was administered in the form of a subcutaneous injection of divarin 1750 once daily in 143 patients and with Aspirin 2×500 mg orally in 144 patients. A clinical examination and colour-coded duplex sonography were performed after removal of the cast for detection of lower extremity venous thrombosis. A phlebography was performed for confirmation when thrombosis was suspected | Incidence of DVT in group receiving prophylactic LMWH | 9/143 (6.3%) | Heterogenous cohort consisting of inpatients, outpatients and surgical patients. No distinction between symptomatic/asymptomatic disease |
Incidence of DVT in group receiving prophylactic Aspirin | 7/144 (4.8%) |
DVT, deep vein thrombosis; LMWH, low molecular weight heparin.