Cochrane · systematic review · CD006681

Low molecular weight heparin for prevention of venous thromboembolism in patients with lower‐limb immobilization

Zee, AAG, van Lieshout, K, van der Heide, M, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

VascularAMSTAR 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
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 16.7%Very low 0 · 0%Low 4 · 66.7%Moderate 1 · 16.7%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

Low molecular weight heparin compared to no prophylaxis or placebo in prevention of venous thromboembolism in patients with lower‐limb immobilization

Population: prevention of venous thromboembolism in patients with lower‐limb immobilization
6 questions
OutcomeEffectEvidenceStatus / GRADE
Deep venous thrombosis
Low molecular weight heparin vs no prophylaxis or placebo
OR 0.45 [0.33, 0.61]7 studies · 1676 participantsModerate
Downgraded: risk of bias
Pulmonary embolism
Low molecular weight heparin vs no prophylaxis or placebo
OR 0.5 [0.17, 1.47]5 studies · 2517 participantsLow
Downgraded: risk of bias, imprecision
Symptomatic venous thromboembolism
Low molecular weight heparin vs no prophylaxis or placebo
OR 0.4 [0.21, 0.76]6 studies · 2924 participantsLow
Downgraded: risk of bias, imprecision
Mortality due to pulmonary embolism
Low molecular weight heparin vs no prophylaxis or placebo
no estimate extracted8 studies · 3111 participantsUngraded
Mortality due to other causes
Low molecular weight heparin vs no prophylaxis or placebo
OR 0.33 [0.01, 8.15]8 studies · 3111 participantsLow
Downgraded: imprecision
Adverse outcomes
Low molecular weight heparin vs no prophylaxis or placebo
OR 2.01 [0.83, 4.86]8 studies · 3178 participantsLow
Downgraded: risk of bias, imprecision