Table 3: Current Approved Direct Oral Anticoagulant Regimens for Venous Thromboembolism Prophylaxis after Major Orthopaedic Surgery.
| DOACs | Indications | Recommended Dose | Recommended Duration | Approved by |
|---|---|---|---|---|
| Dabigatran | VTE prophylaxis after major orthopaedic surgery | 150–220 mg once daily | THA 28–35 days TKA (10 days) |
ACCP (2012),[15] NICE (2019),[16] ASH (2019),[17] SIGN (2010)[18] |
| Rivaroxaban | VTE prophylaxis after major orthopaedic surgery | 10 mg once daily | THA 28–35 days TKA (10–14 days) |
ACCP (2012),[15] NICE (2019),[16] ASH (2019),[17] SIGN (2010)[18] |
| Apixaban | VTE prophylaxis after major orthopaedic surgery | 2.5 mg twice daily | THA 32–38 days TKA (10–14 days) |
ACCP (2012),[15] NICE (2019),[16] ASH (2019)[17] |
| Edoxaban | VTE prophylaxis after major orthopaedic surgery | 30 mg once daily | Japanese guidelines[75] |
ACCP = American College of Chest Physicians; ASH = American Society of Hematology; DOAC = direct oral anticoagulants; NICE = National Institute for Health and Care Excellence; SIGN = Scottish Intercollegiate Guidelines Network; THA = total hip arthroplasty; TKA = total knee arthroplasty; VTE = venous thromboembolism.