Cochrane · systematic review · CD005982

Low molecular weight heparin for prevention of central venous catheter‐related thrombosis in children

Pelland-Marcotte, M-C, Amiri, N, Avila, ML, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Vascular2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 16.7%Low 5 · 83.3%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Does low molecular weight heparin prevent central venous catheter‐related thrombosis compared to control in children?

Population: children with a CVC
CD005982.PUB3 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
CVC‐related thrombosis (
Does low molecular weight heparin prevent central venous catheter‐related thrombosis vs control
RR 0.68 [0.27, 1.75]2 studies · 787 participantsLow
Downgraded: risk of bias, inconsistency
Symptomatic CVC‐related thrombosis (
Does low molecular weight heparin prevent central venous catheter‐related thrombosis vs control
RR 1.03 [0.21, 4.93]1 study · 158 participantsLow
Downgraded: risk of bias, imprecision
Asymptomatic CVC‐related thrombosis (
Does low molecular weight heparin prevent central venous catheter‐related thrombosis vs control
RR 1.17 [0.45, 3.08]1 study · 158 participantsLow
Downgraded: risk of bias, imprecision
Major bleeding (
Does low molecular weight heparin prevent central venous catheter‐related thrombosis vs control
RR 0.27 [0.05, 1.67]2 studies · 813 participantsLow
Downgraded: risk of bias, imprecision
Minor bleeding (
Does low molecular weight heparin prevent central venous catheter‐related thrombosis vs control
no estimate extracted2 studies · 813 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Mortality during study period (
Does low molecular weight heparin prevent central venous catheter‐related thrombosis vs control
no estimate extracted2 studies · 813 participantsLow
Downgraded: imprecision, inconsistency

Low molecular weight heparin for prevention of central venous catheter (CVC)‐related thrombosis in children

Population: Children with central venous catheter
CD005982.PUB2 · 5 questions
OutcomeEffectEvidenceStatus / GRADE
CVC‐related symptomatic thrombosis Venography §
RR 1.03 [0.21, 4.93]1 study · 158 participantsLow
CVC‐related asymptomatic thrombosis Venography §
RR 1.17 [0.45, 3.48]1 study · 158 participantsLow
Side effects of LMWH: major bleeding Clinical findings
RR 0.34 [0.01, 8.26]1 study · 184 participantsLow
Side effects of LMWH: minor bleeding Clinical findings
RR 1.2 [0.91, 1.58]1 study · 184 participantsLow
Mortality during period of therapy
no estimate extracted1 study · 184 participantsLow