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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003062naa a2200325 4500
001oai:gup.ub.gu.se/166356
003SwePub
008240528s2012 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/1663562 URI
024a https://doi.org/10.1016/j.thromres.2012.08.3152 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Eriksson, Bengt I.,d 1946u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xerben
2451 0a Efficacy of delayed thromboprophylaxis with dabigatran: Pooled analysis.
264 1b Elsevier BV,c 2012
520 a INTRODUCTION: Oral thromboprophylaxis with dabigatran etexilate should be initiated as a half dose 1 to 4h after major orthopaedic surgery. However, a delay in dosing could occur for clinical or logistical reasons. A post hoc analysis was carried out to determine if patients with delayed dosing received adequate anticoagulation. PATIENTS AND METHODS: The RE-MODEL™ and RE-NOVATE® trials compared 220mg and 150mg dabigatran etexilate with 40mg enoxaparin. Pooled data for major venous thromboembolism (VTE) and VTE-related mortality (efficacy outcome) and major bleeding events (MBE), MBE/clinically relevant bleeding events, and all bleeding events (safety outcomes) were analysed. Results in patients with dosing delayed more than 4h postsurgery were compared with those of patients without a delay. RESULTS: Onset of treatment was delayed in 724 (13.3%) of 5425 patients. Efficacy of 220mg dabigatran etexilate was similar in patients without delayed dosing, patients with a delay and patients with a delay until the day after surgery. Rates of efficacy outcome were higher in patients on 150mg dabigatran etexilate, but more than 80% of these patients were undertreated based on age or renal clearance status. Some differences in bleeding events were seen among patient groups by treatment arm. CONCLUSION: Dabigatran etexilate thromboprophylaxis should be initiated 1 to 4h postsurgery. Results from our post-hoc analysis indicate that no loss of efficacy appears to occur if initiation of dabigatran etexilate 220mg needs to be delayed.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Ortopedi0 (SwePub)302112 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Orthopaedics0 (SwePub)302112 hsv//eng
700a Dahl, Ola E4 aut
700a Rosencher, Nadia4 aut
700a Clemens, Andreas4 aut
700a Hantel, Stefan4 aut
700a Kurth, Andreas A4 aut
710a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för ortopedi4 org
773t Thrombosis researchd : Elsevier BVg 130:6, s. 871-876q 130:6<871-876x 1879-2472x 0049-3848
8564 8u https://gup.ub.gu.se/publication/166356
8564 8u https://doi.org/10.1016/j.thromres.2012.08.315

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