Table 14.
—[Section 3.4.4] Summary of Findings: Should LMWH vs Unfractionated Heparin Be Used for DVT Prevention in Critically Ill Adult Patients?12,13,72
Outcome | Anticipated Absolute Effects |
Relative Effect (95% CI) | No. of Participants (Studies) Follow-up | Quality of the Evidence (GRADE) | |
Risk with UFH | Risk Difference With LMWH (95% CI) | ||||
Symptomatic DVT |
25 per 1,000 |
3 fewer per 1,000 (from 10 fewer to 6 more) |
RR, 0.87 (0.60-1.25) |
4,722 (2 RCTs) 7-28 d |
Moderate due to imprecisiona |
Symptomatic pulmonary embolism |
20 per 1,000 |
8 fewer per 1,000 (13.2 fewer to 0.6 fewer) |
RR, 0.58 (0.34-0.97) |
3,746 (1 RCT) 7 d |
Moderate due to imprecisiona |
Major bleeding |
55 per 1,000 |
2 fewer per 1,000 (from 14 fewer to 14 more) |
RR, 0.97 (0.75-1.26) |
3,902 (2 RCTs) 7-47 d |
Moderate due to imprecisiona |
Death |
159 per 1,000 |
10 fewer per 1,000 (from 30 fewer to 14 more) |
RR, 0.94 (0.81-1.09) |
3,902 (2 RCTs) 7-47 d |
Moderate due to imprecisiona |
Heparin-induced thrombocytopenia | 6 per 1,000 | 3 fewer per 1,000 (from 5 fewer to 1 more) | RR, 0.42 (0.15-1.18) | 3,746 (1 RCT) 7 d | Moderate due to imprecisiona |