Table 2.
Primary and secondary outcomes of thromboprophylaxis with dabigatran, nadroparin or rivaroxaban after total knee arthroplasty
| Dabigatran (n=45) | Nadroparin (n=45) | Rivaroxaban (n=48) | P value | ||||
| n | % | n | % | n | % | ||
| Primary outcome | |||||||
| Major and clinically relevant non-major bleeding | 15 | 33.3 | 11 | 24.4 | 13 | 27.1 | 0.67 |
| Major bleedings | 0 | 0 | 2 | 4.4 | 0 | 0 | 0.21 |
| Fatal bleeding | 0 | 0 | 0 | 0 | 0 | 0 | |
| Clinically overt bleeding, haemoglobin (Hb) decrease >20 g/L | 0 | 0 | 0 | 0 | 0 | 0 | |
| Clinically overt bleeding, transfusion | 0 | 0 | 1 | 2.2 | 0 | 0 | 0.65 |
| Critical bleeding | 0 | 0 | 1* | 2.2 | 0 | 0 | 0.65 |
| Bleeding warranting treatment cessation | 0 | 0 | 1* | 2.2 | 0 | 0 | 0.65 |
| Bleeding located at surgical site | 0 | 0 | 0 | 0 | 0 | 0 | |
| Clinically relevant non-major bleeding | 15 | 33.3 | 10 | 22.2 | 13 | 27.1 | 0.51 |
| Spontaneous skin haematoma >25 cm2 | 1 | 2.2 | 0 | 0 | 0 | 0 | 0.65 |
| Wound haematoma >100 cm2 | 14 | 31.1 | 9 | 20.0 | 12 | 25.0 | 0.49 |
| Spontaneous nose bleeding >5 min | 0 | 0 | 1 | 2.2 | 0 | 0 | 0.65 |
| Spontaneous rectal bleeding >1 spot | 0 | 0 | 0 | 0 | 0 | 0 | |
| Macroscopic haematuria >24 hours | 0 | 0 | 0 | 0 | 1 | 2.1 | 1.0 |
| Other bleeding events (not major) | 0 | 0 | 0 | 0 | 0 | 0 | |
| Last primary outcome (median days after surgery) (range) | 7 (1–21) | 7 (2–26) | 6 (2–16) | 0.32 | |||
| Patients with primary outcome more than 14 days after surgery (%) | 1 | 2.2 | 1 | 2.2 | 1 | 2.1 | 1.0 |
| Secondary outcome | |||||||
| VTE | 1* | 2.2 | 0 | 0 | 0 | 0 | 0.65 |
| Death due to VTE | 1* | 0 | 0 | ||||
| DVT | 0 | 0 | 0 | ||||
| PE | 1* | 0 | 0 | ||||
| Hospital stay (median, days) (range) | 3 (2–9) | 3 (2–10) | 4(2–28) | 0.098 | |||
| Readmission within 3 months, n (%) | 2 (4.4) | 4 (8.9) | 3 (6.3) | 0.77 | |||
| Patients with adverse reactions, n (%) | 9 (20) | 2 (4.4) | 5 (10.4) | 0.072 | |||
| Patient compliant, n (%) | 27 of 44 (61.4)† | 25 of 44 (56.8)† | 25 (52.1) | 0.66 | |||
| Days of missed dosages (median, days) (range) | 0 (0–7); n=42 | 0 (0–23); n=40 | 0 (0–4); n=40 | 0.73 | |||
*Identical patient.
†One missing value. Due to the explorative nature of this pilot study, all p values are explorative rather than confirmative and are not corrected for multiple testing.
DVT, deep venous thrombosis; PE, pulmonary embolism; VTE, venous thromboembolism.