Venous Thromboembolism Clinical Trial
Official title:
Thromboprophylaxis in Critically Ill Patients: a Prospective, Randomized Study Comparing Anti-Xa Activities Following Subcutaneous Administration of 5000 IU and 7500 IU Dalteparin
Intensive care patients are at high risk to develop deep venous thrombosis and pulmonary
embolism. Despite anticoagulation with heparin 7% of ICU patients suffer from this serious
complication. Optimal regimens for prevention of VTE have been established in medical
patients only and are not known for ICU patients.
It was therefore the aim of this study to compare the bioavailability of a low molecular
weight heparin in ICU patients and in medical patients. Furthermore, we looked wether a 50%
dose increase resulted in better bioavailability of this drug.
Background: The optimal dose regimen of low molecular weight heparins (LMWH) for
thromboprophylaxis in critically ill patients is unknown.
Objectives: We performed a prospective, randomized study to determine anti-Xa activities
following subcutaneous administration of 5000 IU or 7500 IU dalteparin for
thromboprophylaxis in ICU patients compared with medical patients receiving the standard
dose of 5000 IU.
Patients and Methods: Twenty-five ICU patients received 7500 IU (group 1) and 29 ICU
patients received 5000 IU dalteparin subcutaneously (group 2) for thromboprophylaxis.
Twenty-nine medical patients receiving 5000 IU dalteparin served as control group (group 3).
;
Allocation: Randomized, Endpoint Classification: Pharmacokinetics Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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