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. 2020 Dec 18;2020(12):CD008500. doi: 10.1002/14651858.CD008500.pub5

Comparison 3. Anticoagulants versus control: symptomatic pulmonary embolism.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
3.1 Symptomatic PE: DOAC vs placebo 3 1526 Risk Ratio (IV, Random, 95% CI) 0.38 [0.10, 1.47]
3.1.1 Apixaban 2 685 Risk Ratio (IV, Random, 95% CI) 0.17 [0.04, 0.67]
3.1.2 Rivaroxaban 1 841 Risk Ratio (IV, Random, 95% CI) 1.00 [0.29, 3.44]
3.2 Symptomatic PE: LMWH vs no thromboprophylaxis 8 5324 Risk Ratio (IV, Random, 95% CI) 0.60 [0.42, 0.88]
3.2.1 Dalteparin 5 2979 Risk Ratio (IV, Random, 95% CI) 0.63 [0.42, 0.94]
3.2.2 Nadroparin 1 1150 Risk Ratio (IV, Random, 95% CI) 0.50 [0.10, 2.44]
3.2.3 Certoparin 1 883 Risk Ratio (IV, Random, 95% CI) 0.60 [0.14, 2.49]
3.2.4 Enoxaparin 1 312 Risk Ratio (IV, Random, 95% CI) 0.14 [0.01, 2.61]
3.3 Symptomatic PE: prophylactic vs intermediate or therapeutic LMWH 1   Risk Ratio (IV, Fixed, 95% CI) Subtotals only
3.3.1 Prophylactic vs intermediate 1 51 Risk Ratio (IV, Fixed, 95% CI) 2.89 [0.12, 67.75]
3.3.2 Prophylactic vs therapeutic 1 52 Risk Ratio (IV, Fixed, 95% CI) 3.00 [0.13, 70.42]
3.4 Symptomatic PE: LMWH vs aspirin 2 781 Risk Ratio (IV, Random, 95% CI) 0.13 [0.02, 1.03]
3.5 Symptomatic PE: LMWH vs warfarin 1 439 Risk Ratio (IV, Fixed, 95% CI) 0.11 [0.01, 2.06]
3.6 Symptomatic PE: semuloparin vs placebo 1 3212 Risk Ratio (IV, Fixed, 95% CI) 0.48 [0.22, 1.01]
3.7 Symptomatic PE: vitamin K antagonists vs placebo 1 311 Risk Ratio (IV, Fixed, 95% CI) 1.05 [0.07, 16.58]
3.8 Symptomatic PE: warfarin vs aspirin 1 440 Risk Ratio (IV, Fixed, 95% CI) 1.00 [0.25, 3.95]