Table 2.
Summary of characteristics of included studies.
| Reference | Patients, n | Gender (M:F) | Mean age | History of VTE | Follow-up | Surgery | Treatment | Mobilization after surgery (days) | Outcome |
|---|---|---|---|---|---|---|---|---|---|
| (17) | 70 | 24:46 | 52.2 | None | At POD 14 and POD 30 | THA | Aspirin 100 mg bid: 34 patients (5 weeks); Rivaroxaban 10 mg qd: 36 patients (5 weeks) |
POD1 (walk with crutch assisted) | Evaluation with lower limb USG, 3 patients in both groups with distal DVT. |
| (18) | 329 | 223:106 | 47 | 15 | For 90 days | Trauma1 | Aspirin 81 mg bid: 165 patients*; Enoxaparin 30 mg bid : 164 patients* |
Not stated | 90 days event-free in 99 patients in the aspirin group (59.9%) and 98 patients in the LMWH group (59.4%); No significant statistic difference within both group |
| (19) | 3424 | 1637:1787 | 62.8 | 81 | For 90 days | THA and TKA | Aspirin : 81 mg qd: Hip : 902 patients (30 days), Knee : 805 patients (9 days); Rivaroxaban : 10 mg qd: Hip :902 patients (30 days); Rivaroxaban : 10 mg qd : 815 patients (9 days) |
Not stated | VTE occurred in 11 patients (0.64%) among aspirin group and 12 patients (0.70%) in rivaroxaban group (P < 0.001 for noninferiority and P = 0.84 for superiority). |
| (20) | 120 | 9:111 | 64.4 | None | For 6 weeks | TKA | Aspirin 100 mg qd : 60 patients (14 days); LMWH 5000 U/day, POD 1-5, continued with Rivaroxaban 10 mg qd (POD 6 -14) |
POD1 (active-passive motion, walking with crane) | DVT in 10 patients (16.7%) when using Aspirin and 11 patients (18.3%) when using LMWH and rivaroxaban but no significant difference (P = 0.500) |
| (21) | 324 | 80:244 | 64 | None | For 4 weeks | TKA | Aspirin 100 mg qd : 110 patients (14 days); Rivaroxaban 10 mg qd : 102 patients (14 days); LMWH 4000 U qd : 112 patients (14 days) |
POD 2 (walking with walking aids under the guidance of caregivers) | Incidence of DVT higher in Aspirin group versus Rivaroxaban (18 (16.36%) vs 3 (2.94%),P = 0.017)); No significant difference in DVT incidence with Aspirin compared to s.c. LMWH (14 (12.50%) vs 18 (16.36%), P = 0.831). |
| (22) | 778 | 444:334 | 57.8 | 13 | For 90 days | THA | Aspirin 81 mg qd : 380 patients (28 days); Dalteparin 5000 U qd : 398 patients (28 days) |
Not stated | Venous thromboembolism was found in 5 of 398 patients among Dalteparin group and 1 of 380 patients among Aspirin group. Aspirin was found to be significantly non-inferior (P < 0.001) but not superior (P = 0.22) to Dalteparin. |
| (23) | 900 | 328:572 | 63.8 | Not stated | For 12 months | TKA | Aspirin 325 mg bid: 194 patients (4 weeks); Enoxaparin 40mg qd SC (2 weeks) + Aspirin 325 mg bid (2 weeks): 706 patients |
POD 1 | Symptomatic DVT occurs in 4 patients (2.1%) within the aspirin group and 15 (2.1%) within the LMWH group (P = 0.957). |
| (24) | 275 | 99:176 | 68.9 | None | For 4–-6weeks | TKA | Aspirin 325 mg bid + CCD: 129 (4 weeks); Enoxaparin 30mg bid (until discharge), 40mg qd (3 weeks)+ CCD : 135 |
Not stated. | The incidence of DVT for Aspirin (18/129) and Enoxaparin (17/135) was without significant difference (P = 0.34). |
1Extremity fracture proximal to the carpals or metatarsal, and hip or acetabular fracture;
*Duration depends on hospital guideline.
CCD, calf compression device; THA, total hip arthroplasty; TKA, total knee arthroplasty,
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