Cochrane · systematic review · CD008077

Slow versus fast subcutaneous heparin injections for prevention of bruising and site pain intensity

Mohammady, M, Radmehr, M, Janani, L · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Vascular3 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 6 · 85.7%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

Slow versus fast subcutaneous heparin injection for prevention of bruising and site pain intensity

Population: patients treated with subcutaneous heparin injections
CD008077.PUB6 (current) · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Intensity of injection pain ‐ immediately after injection (VAS 0 to 10 cm)
Slow vs fast subcutaneous heparin injection
no estimate extracted2 studies · 140 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Intensity of injection pain ‐ 48 hours after injection (VAS 0 to 10 cm)
Slow vs fast subcutaneous heparin injection
no estimate extracted3 studies · 103 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Bruise size ‐ 48 hours after injection (mm/mm2)
Slow vs fast subcutaneous heparin injection
no estimate extracted5 studies · 503 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Bruise size ‐ 60 hours after injection (mm2)
Slow vs fast subcutaneous heparin injection
no estimate extracted2 studies · 84 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Bruise size ‐ 72 hours after injection (mm2)
Slow vs fast subcutaneous heparin injection
no estimate extracted2 studies · 140 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Bruise incidence ‐ 48 hours after injection
Slow vs fast subcutaneous heparin injection
OR 0.39 [0.26, 0.6]3 studies · 444 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Bruise incidence ‐ 60 hours after injection
Slow vs fast subcutaneous heparin injection
OR 0.25 [0.1, 0.65]2 studies · 84 participantsLow
Downgraded: risk of bias, imprecision, inconsistency

Slow versus fast subcutaneous heparin injection for prevention of bruising and site pain intensity

Population: patients treated with subcutaneous heparin injections
CD008077.PUB5 · 4 questions
OutcomeEffectEvidenceStatus / GRADE
Intensity of injection pain immediately after injection (VAS 0 to 10 cm)
Slow vs fast subcutaneous heparin injection
no estimate extracted2 studies · 140 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Intensity of injection pain 48 hours after injection (VAS 0 to 10 cm)
Slow vs fast subcutaneous heparin injection
no estimate extracted2 studies · 59 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Bruise size 48 hours after injection (mm/mm2)
Slow vs fast subcutaneous heparin injection
no estimate extracted4 studies · 459 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Haematoma at injection site
Slow vs fast subcutaneous heparin injection
no estimate extractedNRNo studies

Slow versus fast subcutaneous heparin injection for prevention of bruising and site pain intensity

Population: patients treated with subcutaneous heparin injections
CD008077.PUB4 · 4 questions
OutcomeEffectEvidenceStatus / GRADE
Intensity of injection pain immediately after injection (VAS 0 to 10 cm)
Slow vs fast subcutaneous heparin injection
no estimate extracted2 studies · 140 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Intensity of injection pain 48 hours after injection (VAS 0 to 10 cm)
Slow vs fast subcutaneous heparin injection
no estimate extracted2 studies · 59 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Bruise size 48 hours after injection (mm/mm2)
Slow vs fast subcutaneous heparin injection
no estimate extracted4 studies · 459 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Haematoma at injection site
Slow vs fast subcutaneous heparin injection
no estimate extractedNRNo studies