Table 13.
Outcomes | No. of Participants (Studies), Follow-up | Quality of the Evidence (GRADE) | Relative Effect (95% CI) | Anticipated Absolute Effectsa |
|
Risk With Fixed Initial Dose | Risk Difference With UFH-Weight-Based Nomogram (95% CI) | ||||
Thromboembolism |
292 (3 studies), 2-90 db |
Lowc,d due to
risk of bias and imprecision |
OR 0.22 (0.02-1.13)e |
57 per 1,000f |
44 fewer per 1,000 (from 56 fewer to 7 more) |
Major hemorrhage | 179 (2 studiesg), 1 wk | Very lowc,d due to risk of bias and imprecision | Not estimableh | 11 per 1,000 | 10 fewer per 1,000 (from 30 fewer to 10 more) |
Time frame is days to weeks.
Only Raschke et al152 collected data over a 3-mo period.
The studies did not use blinding.
None of the studies was powered for clinical outcomes, which were few and poorly reported with regard to type and timing.
Fisher exact test.
Two of the eight events occurred after discontinuation of warfarin.
Becker et al149 reported 2% bleeding without specifying allocation group or type of bleeding.
Zero events in control group; 95% CI on OR not estimable.