Table 3.
Initial dosing strategy of thromboprophylaxis | No. of patients | Events/person-days | IR per 1.000 person-days (95% CI) | HR (95% CI) of death ≤ 28 days | ||
---|---|---|---|---|---|---|
Univariable model | Multivariable modela | Multivariable imputed modelb | ||||
High dosec | 37 | 5/923 | 5.4 (2.3–13.0) | 0.31 (0.12–0.82) | 0.33 (0.13–0.87) | 0.30 (0.11–0.81) |
Medium dosed | 48 | 12/1182 | 10.2 (5.8–17.9) | 0.59 (0.30–1.16) | 0.88 (0.43–1.83) | 0.87 (0.42–1.82) |
Low dosee | 67 | 26/1453 | 17.9 (12.2–26.3) | 1.00 (Ref.) | 1.00 (Ref.) | 1.00 (Ref.) |
Risk of death during the first 28 days among 152 patients admitted to the intensive care unit due to COVID-19 at Södersjukhuset, Stockholm, March 6 to April 30, 2020, by initial dosing strategy with tinzaparin/dalteparin as thromboprophylaxis
CI, confidence interval; IR, Incidence Rate; HR, Hazard Ratio
aAdjusted for sex, age (continuously), body mass index (</≥ 30 kg/m2 and missing [n = 6]), invasive mechanical ventilation (yes/no), and Simplified Acute Physiology Score III (continuously)
bAdjusted like the multivariable model but with body mass index imputed due to missing values (n = 6), and flexibly modeled with restricted cubic splines at three knots over the percentile (10th, 50th, and 90th) distribution of body mass index in the population
cTinzaparin, ≥ 175 IU/kg of body weight per daily, or dalteparin, ≥ 200 IU/kg of body weight daily
dTinzaparin, > 4500 IU daily to < 175 IU/kg of body weight daily, or dalteparin, > 5000 IU daily to < 200 IU/kg of body weight daily
eTinzaparin, 2500–4500 IU daily, or dalteparin, 2500–5000 IU daily