Low molecular weight heparin in prophylaxis of deep vein thrombosis in Asian general surgical patients: A Kashmir experience |
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| Authors: | Tanveer Iqbal Dar Khursheed Alam Wani Mohd Ashraf Aijaz Malik Sanjeed Ahmad Tariq A Gojwari Arshad Iqbal |
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| Institution: | From: Department of General Surgery, SKIMS Soura, and SKIMS Medical College, Srinagar, J and K, India;1Department of Pediatrics, SKIMS Soura, and SKIMS Medical College, Srinagar, J and K, India;2Department of Radiodiagnosis, SKIMS Soura, and SKIMS Medical College, Srinagar, J and K, India;3Department of Radiology, SKIMS Soura, and SKIMS Medical College, Srinagar, J and K, India |
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| Abstract: | Background and Objectives:Deep vein thrombosis (DVT) occurs at a lower rate in Asia than in the rest of the world. We wanted to study the significance and efficacy of low molecular weight heparin (LMWH) in prophylaxis of DVT in major general surgical patients in the Kashmir Valley (India, Asia) so as to make it a routine in our patients.Patients and Methods:This was a prospective study in which the effect of LMWH was compared with no prophylaxis.Results:LMWHs are more effective than no prophylaxis in the prevention of DVT and pulmonary thromboembolism in highest-risk general surgical patients (odds ratio = 16.64; 95% confidence interval = 3.63–1130.03; P-value = 0.014).Conclusion:LMWHs have a significant prophylactic effect on DVT in general surgical patients, with a higher benefit to risk ratio, and, in spite of the low incidence of DVT in Asia, its prophylaxis should routinely be considered in this part of the world as well, preferably in the form of LMWHs. |
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| Keywords: | Heparin prophylaxis thrombosis |
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