1. Abnormal platelet count, prothrombin time (PT) or partial thromboplastin time (PTT) |
2. Surgery for acute fracture (<4Â weeks), septic joint, or extraction arthroplasty |
3. History of VTE or documented hypercoagulation syndrome |
4. Increased risk of hemorrhage, as from active gastric ulcer or urinary tract bleed within the last year |
5. Hemorrhagic stroke; brain, spinal, or ophthalmologic surgery in previous 6Â months |
6. Liver enzymes or bilirubin greater than 2 x normal |
7. Decreased renal function with GFR <30Â ml/min. |
8. Cancer in last year, other than localized cancers of the skin |
9. Requires chronic anticoagulation |
10. Requires chronic platelet function suppressive therapy |
11. Prior adverse reaction to any of the study drugs |
12. Uncontrolled hypertension |
13. BMI >42 |
14. Pregnancy |