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PREVENT trial
Subgroup analysis [1]
5600 hopsitalized patients at risk for venous thromboembolism
1118 obese patients, 1226 elderly
serum creatinine < 2.0
5000 U of dalteparin QD vs placebo
Combined endoint:
1) symptomatic venous thromboembolism
2) fatal pulmonary embolism
3) sudden death
4) proximal deep vein thrombosis by ultrasound
Results:
1) endpoint reached
a) obese:
- 2.8% of dalteparin group vs 4.3% in placebo group
b) elderly
- 4.2% of dalteparin group vs 8.0% in placebo group
2) difference significant only for elderly
3) mortality, hemorrhage, thrombocytopenia not different among groups
Related
dalteparin (Fragmin)
venous thromboembolism (VTE)
General
clinical trial
References
- Journal Watch 25(7):53, 2005
Kucher N, Leizorovicz A, Vaitkus PT, Cohen AT, Turpie AG,
Olsson CG, Goldhaber SZ.
Efficacy and safety of fixed low-dose dalteparin in preventing
venous thromboembolism among obese or elderly hospitalized
patients: a subgroup analysis of the PREVENT trial.
Arch Intern Med. 2005 Feb 14;165(3):341-5.
PMID: 15710801