Cochrane · systematic review · CD007557

Unfractionated heparin versus low molecular weight heparins for avoiding heparin‐induced thrombocytopenia in postoperative patients

Junqueira, DR, Zorzela, LM, Perini, E · 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
3
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 100%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

Is unfractionated heparin (UFH) use better than low molecular weight heparin (LMWH) use to avoid heparin‐induced thrombocytopenia?

Population: people undergoing surgical procedures and treated with UFH or LMWH for prophylaxis of thrombotic events lasting at least 5 days
3 questions
OutcomeEffectEvidenceStatus / GRADE
Heparin‐induced thrombocytopenia (HIT)
RR 0.23 [0.07, 0.73]3 studies · 1398 participantsLow
Downgraded: risk of bias, imprecision
HIT in people undergoing major surgical procedures
RR 0.22 [0.06, 0.75]2 studies · 586 participantsLow
Downgraded: risk of bias, imprecision
HIT complicated by venous thromboembolism
RR 0.22 [0.06, 0.84]3 studies · 1398 participantsLow
Downgraded: risk of bias, imprecision