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. 2010 Jan 6;4:1. doi: 10.1186/1752-2897-4-1

Table 1.

Summary of Randomized LMWH Trauma Studies which Report Bleeding Complications

Study Design Type of LMWH No. Patients Non-Fatal Bleeding Fatal Bleeding
Geerts et al. 1996[10] Randomized
UH 5,000 U SC BID vs. LMWH 30 mg SC BID Enoxaparin 171* 5 (2.9%) 0
Multi-system trauma & ISS ≥ 9
Knudson et al. 1996[20] Randomized
LMWH 30 mg SC BID vs. SCD or AVI bilaterally Enoxaparin 120 6 (5%) 0
Multi-system trauma & AIS ≥ 3 with ISS > 10
Ginzburg et al. 2003[19] Randomized
LMWH 30 mg BID vs. IPC bilaterally Enoxaparin 218 13 (6%) 0
Multi-system trauma & ISS ≥ 9

Multi-system Trauma Bleeding Risk 24/509 (4.7%) 0%

Green et al. 1990[17] Randomized
UH 5,000 U SC TID vs. LMWH 3500 U SC QD Logiparin 20 0 0
Spinal cord trauma & complete motor paraylsis
Spinal Cord Injury Thromboprophylaxis Investigators 2003[18] Randomized
UH 5,000 U SC TID + IPC vs. LMWH 30 mg SC BID Enoxaparin 230 6 (2.6%) 0
Spinal cord trauma
Kurtoglu et al. 2004[13] Randomized
LMWH 40 mg QD vs. IPC bilaterally Enoxaparin 60 2 (3.3%) 0
Head and Spinal Trauma

Spinal Cord Trauma Bleeding Risk 8/310 (2.6%) 0%

Combined Total Bleeding Risk 32/819 (3.9%) 0%

* 344 patients randomized and assessed for bleeding whereas only 265 patients had venograms adequate for DVT analysis ISS, Injury Severity Score; SCD, Sequential Compression Device; IPC, Intermittent Pneumatic Compression