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. 2012 Feb;141(2 Suppl):e195S–e226S. doi: 10.1378/chest.11-2296

Table 13.

—[Section 3.4.3] Summary of Findings: Should Any Heparin (LDUH, LMWH) vs Placebo Be Used for DVT Prophylaxis in Critically Ill Adult Patients?12,70,71

Outcome No. of Participants (Studies) Follow-up Quality of the Evidence (GRADE) Relative Effect (95% CI) Anticipated Absolute Effects
Baseline Risk Risk Difference With Any Heparin (95% CI)
Symptomatic DVT
1,935 (1 RCT) 5-28 d
Moderate due to serious imprecisiona
RR, 0.86 (0.59-1.25)
58 per 1,000
4 fewer per 1,000 (from 12 fewer to 8 more)
Pulmonary embolus
1,935 (1 RCT) 5-28 d
Low due to serious imprecisiona and indirectnessb
RR, 0.73 (0.26-2.11)
42 per 1,000
11 fewer per 1,000 (from 31 fewer to 47 more)
Death
169 (1 RCT) 5-28 d
Low due to very serious imprecisiona
RR, 1.01 (0.40-2.57)
94 per 1,000
1 more per 1,000 (from 56 fewer to 148 more)
Major bleeding 221 (1 RCT) 5-28 d Low due to very serious imprecisiona RR, 2.09 (0.54-8.16) 27 per 1,000 29 more per 1,000 (from 12 fewer to 190 more)

See Table 1 and 4 legends for expansion of abbreviations.

a

We will consider the presence of serious imprecision when there are <300 events in total (events in treatment and control patients) or when CIs include appreciable harms and benefits.

b

RR estimated from a mix of symptomatic and asymptomatic events.