Table 1.
Patient number | Mean (SD or range) age, years | Sex (female/male) | Dosage and duration | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Study | Country | Aspirin | LMWH | Aspirin | LMWH | Aspirin | LMWH | Aspirin | LMWH | Use of mechanical VTE prophylaxis | Routine DVT screening or symptomatic DVT | DVT diagnostic methods | Follow-up duration | Outcome of VTE risk of aspirin, RR (95% CI) |
Fuente 13 | Mexico | 188 | 214 | 70.33 | 71.31 | 0.85 | 1.04 | 100 mg/d, for 30 days | Enoxaparin 40–60 mg, for 30 days | NA | NA | Venous ultrasonography | 90 days | 0.59 [0.10–3.47] |
Gelfer 16 | Israel | 28 | 20 | 68 (10.4) | 67 (8.7) | 1.61 | 1.90 | 100 mg/d, duration NS | Enoxaparin 40 mg/d, duration NS | Pneumatic compression system in aspirin group only | Routine screening (5 8 days after surgery) plus any symptomatic VTE during follow-up | Venogram for screening plus venous ultrasonography for symptomatic events | 90 days | 0.71 [0.20–2.52] |
Sidhu 11 | Australia | 3348 | 2357 | 67.0 (61.0–74.0) | 68.0 (61.0–74.0) | 1.30 | 1.33 | 100 mg/d, for 14 days | Enoxaparin 40 mg/d, for 14 days | Compression stockings in both group | Symptomatic | Venous ultrasonography | 90 days | 1.65 [1.23–221] |
Westrich 17 | USA | 136 | 139 | 69.0 (12.1) | 68.9 (9.6) | 1.57 | 2.02 | 325 mg/d, for 28 days | Enoxaparin 40 mg/d, for 28 days | Calf compression device in both groups | Routine screening (3–5 days after surgery) plus any symptomatic VTE during follow-up | Venous ultrasonography | 6 weeks | 1.32 [0.76–2.29] |
Zhou 12 | China | 60 | 60 | 66.4 (7.6) | 64.1 (6.7) | 1.31 | 1.07 | 100 mg/d, for 30 days | Dalteparin sodium 2500 IU/d, for 30 days | NA | Routine screening (3,7,30,60, and 90 days after surgery) | Venous ultrasonography | 90 days | 1.40 [0.47–4.17] |
Zou 18 | China | 110 | 112 | 62.7 (47–79) | 65.7 (54–80) | 2.93 | 4.6 | 100 mg/d, for 14 days | Enoxaparin 4000 U/d, for 14 days | Elastic bandages and ankle pump in both groups | Routing screening (2 and 4 weeks after surgery) | Venous ultrasonography | 4 weeks | 1.31 [0.69–2.50] |
DVT, deep vein thrombosis; LMWH, low-molecular-weight heparin; NA, not addressed; RR, risk ratio; VTE, venous thromboembolism.