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. 2017 Feb 9;2017(2):CD001100. doi: 10.1002/14651858.CD001100.pub4

Comparison 3. LMWH versus UFH in patients with pulmonary embolism.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Incidence of recurrent venous thromboembolism at the end of follow‐up 7 1407 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.90 [0.50, 1.61]
1.1 Tinzaparin versus unfractionated heparin 2 680 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.84 [0.26, 2.77]
1.2 Enoxaparin versus unfractionated heparin 3 396 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.89 [0.37, 2.16]
1.3 Dalteparin versus unfractionated heparin 1 60 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
1.4 Reviparin versus unfractionated heparin 1 271 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.96 [0.35, 2.64]
2 Reduction in thrombus size (pre‐ and post‐treatment venograms) 2 106 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.36 [0.23, 8.16]
2.1 Nadroparin versus unfractionated heparin 1 52 Peto Odds Ratio (Peto, Fixed, 95% CI) 5.53 [0.32, 95.93]
2.2 Dalteparin versus unfractionated heparin 1 54 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.54 [0.05, 5.43]
3 Mean change in pulmonary vascular obstruction severity score 2 106 Mean Difference (IV, Fixed, 95% CI) ‐3.14 [‐4.39, ‐1.90]
3.1 Nadroparin versus unfractionated heparin 1 52 Mean Difference (IV, Fixed, 95% CI) ‐3.28 [‐4.55, ‐2.01]
3.2 Dalteparin versus unfractionated heparin 1 54 Mean Difference (IV, Fixed, 95% CI) 1.0 [‐5.94, 7.94]
4 Incidence of major haemorrhagic episodes (during initial treatment) 3 178 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.44 [0.04, 4.29]
4.1 Nadroparin versus unfractionated heparin 1 68 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.12 [0.01, 2.02]
4.2 Enoxaparin versus unfractionated heparin 1 50 Peto Odds Ratio (Peto, Fixed, 95% CI) 5.61 [0.11, 297.44]
4.3 Dalteparin versus unfractionated heparin 1 60 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
5 Overall mortality at end of follow‐up 3 178 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.70 [0.17, 16.71]
5.1 Nadroparin versus unfractionated heparin 1 68 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.94 [0.06, 15.40]
5.2 Enoxaparin versus unfractionated heparin 1 50 Peto Odds Ratio (Peto, Fixed, 95% CI) 5.61 [0.11, 297.44]
5.3 Dalteparin versus unfractionated heparin 1 60 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]