Safety of Venous Thromboembolism Prophylaxis with Fondaparinux in Ischemic Stroke☆
Thrombosis Research 135 (2015) 249–254 Contents lists available at ScienceDirect Thrombosis Research journal homepage: www.elsevier.com/locate/thromres Regular Article Safety of venous thromboembolism prophylaxis with fondaparinux in ischemic stroke☆ C.T. Hackett a,d,1, R.S. Ramanathan a,1, K. Malhotra a,M.R.Quigleyb,c,K.M.Kellya,c,M.Tiana,J.Protetcha, C. Wong a,c,D.G.Wrighta,c,A.H.Tayala,c,⁎ a Department of Neurology and Allegheny General Hospital Comprehensive Stroke Center, University of South Carolina b Department of Neurosurgery and Allegheny General Hospital, University of South Carolina c Drexel University College of Medicine, University of South Carolina d Department of Psychology, University of South Carolina article info abstract Article history: Introduction: Unfractionated heparin (UFH), low molecular weight heparin or fondaparinux are recommended Received 19 June 2014 for venous thromboembolism (VTE) prophylaxis in acutely ill medical patients. There are limited data on the Received in revised form 11 September 2014 safety of fondaparinux for VTE prophylaxis in ischemic stroke. We examined adverse event frequency in Accepted 4 November 2014 hospitalized patients with ischemic stroke who received VTE prophylaxis with fondaparinux versus UFH. Available online 13 December 2014 Materials and Methods: We performed a propensity score matched analysis on a retrospective cohort of 644 consecutive patients with acute ischemic stroke receiving fondaparinux (n = 322) or UFH (n = 322) for VTE prophylaxis. Patients who received intravenous tPA and continuous intravenous infusions of UFH were excluded. The primary outcome was major hemorrhage (intracranial or extracranial) and the secondary outcome was total hemorrhage (major and minor hemorrhage) during hospitalization.
[Show full text]