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Table 1 Treatment duration and reported adverse event rates in studies comparing UFH vs. LMWH heparin in the treatment and prophylaxis of VTE

From: Rates of clinically apparent heparin-induced thrombocytopenia for unfractionated heparin vs. low molecular weight heparin in non-surgical patients are low and similar

Treatment of VTE

      

Study

Treatment duration (days)

Reported Adverse Event

UFH

LMWH

 

UFH

LMWH

 

%

n/N

%

n/N

Merli [11]

≥ 5‡

≥ 5‡

T*

1.4

4/290

2.0

12/610

Koopman [12]

6.1

6.5

T(u)

2.5

5/198

1.5

3/202

Levine [13]

5.5

5.8

T

1.9

3/253

2.0

5/247

   

T w/o exp.

0.4

1/253

0.4

1/247

Hull [14]

not stated

T(u)

1.0

1/103

3.1

3/97

Columbus Invest [15]

5.8

6.3

HIT

0.3

1/308

0.0

0/304

Simmoneau [16]

7.0

7.3

HIT

0.3

1/308

0.0

0/304

Prophylaxis of VTE

      

Study

Treatment duration (days)

Reported Adverse Event

UFH

LMWH

 

UFH

LMWH

 

%

n/N

%

n/N

Harenberg, 1990 [17]

10

10

**

 

-/82

 

-/84

Harenberg, 1996 [18]

10

10

T(d)

0.5

4/780

0.0

0/810

PRIME [19]

7

7

T (n)

0.0

0/482

0.0

0/477

Bergmann [20]

10

10

HIT†

0.4

1/223

0.0

0/216

PRINCE [21]

10

10

T

 

NR

 

NR

  1. Key:
  2. T:Thrombocytopenia, defined as platelet count less than 100,000 cells/ml,
  3. *One case of "immune thrombocytopenia reported in this study". Case was in the LMWH group but had received UFH prior to randomization.
  4. T(u) – Thrombocytopenia-undefined in study
  5. T w/o exp. – Thrombocytopenia with "no apparent explanation"
  6. NR: not reported,
  7. **: "Thrombocyte count did not change in either group".
  8. T(d): A decrease in platelet count (values ranging between 40,000 and 80,000/microliter) was observed in four patients with UF and in none with LMW heparin. No severe thrombocytopenia was observed.
  9. T(n): "There was no decrease in platelet count due to enoxaparin or Ca-heparin."
  10. † One patient with drop in platelet count from 149 K cells/ml to 87 K during treatment. Platelet count rose to 280 K post study. No sequallae from thrombocytopenia.
  11. ‡ Average length of treatment not stated. Treatment length "at least five days".