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. 2013 Jul 16;2013(7):CD003074. doi: 10.1002/14651858.CD003074.pub3

Partsch 1996.

Methods Study design: Randomised clinical trial (blinding not reported).
Method of randomisation: not stated.
No. of exclusions post‐randomisation: not stated.
Lost to follow up: not stated.
Participants Country: Austria.
Setting: Hospital.
No. of participants: 140; 76 once daily group, 64 twice daily group.
Age (mean): 69.13 ± 17.06 years once daily group; 72.21 ± 13.21 years twice daily group.
Gender: 28 M : 48 F once daily group; 34 M : 30 F twice daily group.
Inclusion criteria: Consecutive patients presented with DVT extending into the iliofemoral segment diagnosed by duplex ultrasonography.
Exclusion criteria: previous fibrinolytic treatment; thrombectomy; complete bed rest for > 3 days within 36 hours of admission to hospital; been previously immobilised in other departments as a result of surgery, trauma or internal diseases because of inability to ambulate; pregnancy.
Interventions Fragmin administered 200 IU/kg once daily or 100 IU/kg twice daily started immediately after randomisation for at least 7 days. Coumarin treatment was initiated approximately 10 days after diagnoses and continued for at least 3 months.
Outcomes Decrease in frequency of PE as judged by the difference between the second V/Q scan and the initial baseline scan, major and minor bleeding, and mortality. The definition of major bleeding was not specified, but the one that occurred was characterised as "requiring 2 U of blood transfusion, gastrointestinal".
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear