A Comparative Study of Prophylactic Anticoagulation in Meningioma Surgery
NCT01941602 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 979
Last updated 2017-10-02
Summary
The aim of the study is to compare different strategies for prevention of venous thromboembolism related to intracranial meningioma surgery. The investigators identified three hospitals where two have a very restrictive approach with respect to anticoagulant therapy while at the third hospital the use of anticoagulation the day before surgery was initiated as routine prophylaxis.
Based on this "natural experiment" it will be explored whether the use of anticoagulant prophylaxis is associated with reduced risk of venous thromboembolism and/or associated with increased risk of postoperative hemorrhage as compared to the 2 cohorts where this intervention were absent.
Conditions
- Meningioma
Interventions
- DRUG
-
prophylactic enoxaparin
enoxaparin had been prescribed at a dose of 40 mg (once daily) from the evening before surgery until patients were well mobilized. Also, at the time of surgery compression stockings were used, as well as a sequential compression device (SCD) until the morning after or longer if mobilization was delayed
- PROCEDURE
-
non-prophylactic
no pharmacological prophylaxis for venous thromboembolism (VTE) had been used routinely. Occasionally, with delayed mobilization, a low-dose low molecular weight heparin (LMWH) had been prescribed. SCD had been used at increased frequency, and is today considered routine.
Sponsors & Collaborators
-
Norwegian University of Science and Technology
collaborator OTHER -
University Hospital of North Norway
collaborator OTHER -
Karolinska University Hospital
collaborator OTHER -
St. Olavs Hospital
lead OTHER
Principal Investigators
-
Lars Jacob Stovner, MD PhD · St. Olavs Hospital
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-08-31
- Primary Completion
- 2015-10-31
- Completion
- 2015-10-31
Countries
- Norway
- Sweden
Study Locations
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