title: [Prospective randomized pilot study of ambulatory prevention of thromboembolism. 2 times 500 mg aspirin (ASS) vs. clivarin 1750 (NMH)].
abstract: From March 1994 to March 1996, 287 patients, presenting with lower extremity injuries, who required immobilizing bandages or casts, where included in a prospective, randomized study. These patients received either low-molecular heparin or acetylsalicylic acid for thrombosis prophylaxis. In all patients a clinical examination and a colour-coded duplex sonography were performed after removal of the cast for detection of lower extremity venous thrombosis. A plebography was performed when thrombosis was suspected. A subcutaneous injection of divarin 1750 was given once daily in 143 patients. Thrombosis prophylaxis with Aspirin 2 x 500 mg administered orally was performed in 144 patients. Deep vein thrombosis occurred in 9 patients (6.3%) with clivarin prophylaxis and in 7 patients (4.8%) treated with Aspirin. In both groups, no clinically significant side effects of the medications were observed.
authors.affiliation: Klinik für Unfallchirurgie, Philipps-Universität Marburg.
authors.forename: H
authors.initials: H
authors.lastname: Gehling
authors.forename: K
authors.initials: K
authors.lastname: Giannadakis
authors.forename: R
authors.initials: R
authors.lastname: Lefering
authors.forename: M
authors.initials: M
authors.lastname: Hessmann
authors.forename: S
authors.initials: S
authors.lastname: Achenbach
authors.forename: L
authors.initials: L
authors.lastname: Gotzen
mesh_terms: D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D000925:Anticoagulants / Q000008:administration & dosage*; D001241:Aspirin / Q000008:administration & dosage*; D002370:Casts, Surgical; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D005260:Female; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage*; D006801:Humans; D007869:Leg Injuries / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011446:Prospective Studies; D013923:Thromboembolism / Q000517:prevention & control*
chemical_list: D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight; C094240:reviparin; D001241:Aspirin
vernacular_title: Prospektiv-randomisierte Pilotstudie zur ambulanten Thromboembolieprophylaxe. 2 mal 500 mg Aspirin (ASS) vs. Clivarin 1750 (NMH).