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Table 1 Studies included in the review

From: Low risk of haematomas with intramuscular vaccines in anticoagulated patients: a systematic review with meta-analysis

Study

Sample size

Mean/

median age

Anticoagulant

Indication for anticoagulation

Vaccine used and route(s) of administration

Follow-up

Patriarca 1983

33

Not reported

Warfarin

Not reported

Influenza vaccination

Route not reported

30 days

Lipsky 1984

21

62.5 years

Warfarin

Not reported

Influenza vaccine

Route not reported

28-30 days

Kramer 1984

8

Not reported

Warfarin

Not reported

Influenza vaccine

Route not reported

21 days

Gomolin 1985

15

Not specified (geriatric)

Warfarin

Not reported

Influenza vaccine

Route not reported

21 days

Weibert 1986

13

 N/R

Warfarin

Not reported

Influenza vaccine

Route not reported

14 days

Bussey 1988

24

60.3 years

Warfarin

Not reported

Influenza vaccine

Route not reported

, 4 months

Arnold 1990

9

68 years

Warfarin

Not reported

Influenza vaccine

Route not reported

30 days

Raj 1995

41

65.7 years

Warfarin

Not reported

Influenza vaccine

Route: im

14 days

Delafuente 1998

36

68 years

Warfarin

Not reported

Influenza vaccine

Route: im vs. sc

4 months

Paliani 2003

90

74 years

Warfarin (98%), acenocoumarol (2%)

Not reported

Influenza vaccine

Route: im

7-10 days

Ballester Torrens 2005

59

72.4 years

Not specified

Atrial fibrillation (majority), valvular prosthesis (10%)

Influenza vaccine

Route: im vs. sc

7 months

MacCallum 2007

106

(INR analysis only 78)

73.7 years

Warfarin

Not reported

Influenza vaccination

Route not known, possibly im

3 months

Casajuana 2008

229

73.6 years

Acenocoumarol (98%), warfarin (2%)

Atrial fibrillation (70%), valvular heart disease (17%), ischemic heart disease (12%)

Influenza vaccine.

Route: im vs. sc

10 days

Iorio 2010

104

71.3 years

Warfarin

Atrial fibrillation (54%), venous tromboembolism (14%), aortic valve prosthesis (12%), dilated cardiomyopathy (12%), mitral valve prosthesis (6%), mitral and aortic valve prosthesis (2%)

Influenza vaccine

Route: im

28 days

Van Aalsburg 2011

19 (im)

9 (sc)

65 years (im)

57 years (sc)

89% oral anticoagulants, 11% combination platelet anti-aggregate therapy

Not reported

DTP, HepA, Hib, typhoid fever vaccine, combination of HepA and HepB

Route: im

HepA

Route: sc

3 days

Bauman 2016

28

5 years

Warfarin

Congenital heart disease (86%), Kawasaki syndrome (7%), others

Influenza vaccine (82%), combinations of PCV, DTaP-IPV, MMR, MMRV, MenC, Hib, HepA, HepB, palivizumab

Route: im, sc

6 days (1-14 days)

  1. BCR British Corrected Ratio, DOACs direct oral anticoagulants, DTP diphtheria, tetanus and polio virus vaccine, DTaP-IPV diphtheria, tetanus, acellular pertussis, inactivated polio virus combination vaccine, Hib Hemophilus influenzae type B vaccine, HepA hepatitis A vaccine, HepB hepatitis B vaccine, im intramuscular, INR International Normalized Ratio, MenC conjugate meningococcal type C vaccine, MMR measles, mumps and rubella vaccine, MMRV measles, mumps rubella and varicella vaccine, PCV pneumococcal conjugate vaccine, sc subcutaneous