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• W2034128870 endingPage "1913" @default.
• W2034128870 startingPage "1913" @default.
• W2034128870 abstract "<h3>Background</h3> Central venous catheters (CVCs) are used in a wide variety of patients. Associated complications are thrombosis and infection. It is a matter of debate whether thromboprophylaxis is beneficial. <h3>Methods</h3> We performed a systematic review of 3 different patient populations to render the available information in the literature more accessible to clinical practice: patients receiving parenteral nutrition (PN), patients with cancer, and patients admitted to intensive care units. <h3>Results</h3> Prophylaxis with heparin added to PN was found to give a nonsignificant reduction in the incidence of catheter-related thrombosis (pooled relative risk of randomized studies, 0.77; 95% confidence interval [CI], 0.11-5.48). In cancer patients, both low-dose warfarin and low-molecular-weight heparin significantly reduced the incidence of catheter-related thrombosis (relative risk of randomized studies, 0.25 [95% CI, 0.09-0.70] and 0.10 [95% CI, 0.01-0.71], respectively). So far, intensive care patients have hardly been studied with respect to thromboprophylaxis and the incidence of CVC thrombosis. Any effect of the type of catheter could not be established because of small numbers. There was no apparent increase in bleeding events with prophylactic anticoagulation in patients with CVCs. <h3>Conclusions</h3> In the small number of patients studied, the addition of heparin to PN did not significantly decrease the risk of cathether-related thrombosis, whereas warfarin and dalteparin did decrease the thrombosis risk in cancer patients with CVCs. There is no apparent increase in bleeding events with prophylactic anticoagulants in patients with CVCs." @default.
• W2034128870 created "2016-06-24" @default.
• W2034128870 creator A5009885276 @default.
• W2034128870 creator A5042290277 @default.
• W2034128870 creator A5068180312 @default.
• W2034128870 date "2003-09-08" @default.
• W2034128870 modified "2023-10-10" @default.
• W2034128870 title "Thrombosis Prophylaxis in Patient Populations With a Central Venous Catheter" @default.
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• W2034128870 doi "https://doi.org/10.1001/archinte.163.16.1913" @default.
• W2034128870 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/12963564" @default.
• W2034128870 hasPublicationYear "2003" @default.
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