Thromboprophylaxis in Patients Undergoing Orthopedic Surgeries; Using Propensity Score Matching
NCT03483181 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 4000
Last updated 2018-03-30
Summary
Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), is a common post-operative complication. The necessity for anticoagulant therapy after orthopedic surgeries is widely understood, but treatment administration patterns in the prevention of venous thromboembolism (VTE) after orthopedic surgeries during the hospital stay have yet to be examined.
The main objective of this study is to perform a comparative effectiveness review examining the benefits and harms associated with venous thromboembolism prophylaxis in patients undergoing orthopedic surgeries.
It is around efficacy and safety evaluation of using anticoagulant for thromboprophylaxis in patients undergoing orthopedic surgeries taking into the account the reliable selection of patients most benefit.
The aims of this study is to analyze patient records in teaching hospitals database of our country (including: Hanoi Medical University, Bach Mai Hospital, Cho Ray Hospital, Viet Duc University Hospital) and compare the outcomes and costs between different types of anticoagulant medications that were prescribed for the prevention of VTE following orthopedic surgeries. This analysis will assess and quantify the outcomes, resource utilization, and cost of care for patients receiving rivaroxaban or enoxaparin. The outcomes of interest include the occurence of DVT and PE, rates of major bleeds, medical resource utilization, and total costs (medical plus pharmacy).
Conditions
- Thrombosis
- Deep Vein Thrombosis
- Surgery--Complications
Interventions
- DRUG
-
Xarelto (rivaroxaban)
An oral anticoagulant medication for the prevention of VTE (Venous thromboembolism) related to orthopedic surgery. Patients received rivaroxaban during one day prior to or two days after orthopedic surgery during the hospitalization.
- DRUG
-
Lovenox (enoxaparin)
An injectable anticoagulant medication for the prevention of VTE (Venous thromboembolism) related to orthopedic surgery. Patients received enoxaparin during one day prior to or two days after orthopedic surgeries during the hospitalization.
Sponsors & Collaborators
-
Bach Mai Hospital
collaborator OTHER -
Hanoi Medical University
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-01-01
- Primary Completion
- 2018-11-01
- Completion
- 2018-12-31
Countries
- Vietnam
Study Locations
More Related Trials
-
Prophylaxis of Deep Vein Thrombosis Following Total Hip Arthroplasty
NCT02379663 ·Status: COMPLETED ·Phase: PHASE4
-
Generation of Thrombin and Prediction of Deep Vein Thrombosis Post Prosthetic Orthopedic Surgery of the Lower Limbs
NCT03634124 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluation of PD 0348292 for Preventing Blood Clots in the Lungs or Deep Leg Veins of Patients After Knee Surgery
NCT00306254 ·Status: COMPLETED ·Phase: PHASE2
-
Pradaxa (Dabigatran Etexilate 220 mg/q.d. in the General Population After Hip or Knee Replacement Surgery
NCT00846807 ·Status: COMPLETED
-
Evaluation of Wound Drainage After Knee or Hip Arthroplasty
NCT02054936 ·Status: WITHDRAWN ·Phase: PHASE4
-
Real-time Anti-Factor Xa Measurements in Surgical Patients to Examine Enoxaparin Metabolism and Optimize Enoxaparin Dose
NCT02704052 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Xarelto for VTE Prophylaxis After Hip or Knee Arthroplasty
NCT00831714 ·Status: COMPLETED
-
Prophylaxis Against DVTs After Primary Hip and Knee Replacement Surgery
NCT00767559 ·Status: UNKNOWN ·Phase: NA
-
Comparative Analysis of Injectable Anticoagulants for Thromboprophylaxis Post Cancer-related Surgery
NCT01444612 ·Status: COMPLETED
-
Impact of Continuous Veno-venous Hemodiafiltration on Efficacy of Administration of Prophylactic Doses of Enoxaparin or Fondaparinux in Critically Ill Patients.
NCT04671160 ·Status: UNKNOWN
-
Minimization of Bleeding Related Adverse Drug Events in Plastic & Reconstructive Surgery
NCT03212365 ·Status: COMPLETED ·Phase: PHASE2
-
FactOr XIa inhibiTion for the pRevention of venOus Thromboembolism in Patients Undergoing Total Knee Arthroplasty
NCT03276143 ·Status: COMPLETED ·Phase: PHASE2
-
Selective Thromboembolism Prophylaxis After Arthroplasty
NCT03804697 ·Status: COMPLETED ·Phase: NA
-
Xarelto for Thromboprophylaxis After Total Hip and Total Knee Arthroplasty
NCT05449327 ·Status: COMPLETED ·Phase: NA
-
Prevention of Venous Thromboembolic Events After Elective Orthopaedic Surgery in Patients Treated With PRADAXA
NCT01139658 ·Status: COMPLETED
-
Prophylactic Anticoagulation for Preventing Deep Vein Thrombosis After Total Hip Arthroplasty
NCT01446887 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
ENhanced Recovery and ABbreviated LEngth of Anticoagulation for Thromboprophylaxis After Primary Hip Arthroplasty
NCT06611319 ·Status: RECRUITING ·Phase: PHASE3
-
inDividual, Targeted thrombosIS Prophylaxis Versus the Standard 'One Size Fits All' Approach in Patients Undergoing Total hIp or Total kNee replaCemenT
NCT06581965 ·Status: RECRUITING ·Phase: PHASE4
-
Safety Study of Stopping Thromboprophylaxis Based on Ultrasound Results After Total Knee Replacement
NCT00362492 ·Status: COMPLETED ·Phase: PHASE4
-
Thromboprophylaxis in Critically Ill Patients
NCT00437697 ·Status: TERMINATED ·Phase: PHASE4
-
Evaluation of Anti-Xa Levels in Surgery Patients Receiving Fixed Dose Heparin
NCT02970032 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Pilot Study Evaluating Alterations in Thrombogenicity and Platelet Reactivity Following Lower Extremity Arthroplasty
NCT01809054 ·Status: COMPLETED ·Phase: PHASE4
-
Individual Dose Adjustment of Low-molecular-weight-heparin by Thromodynamics Test.
NCT04710732 ·Status: TERMINATED ·Phase: PHASE4
-
Study of Apixaban for the Prevention of Thrombosis-related Events Following Knee Replacement Surgery
NCT00371683 ·Status: COMPLETED ·Phase: PHASE3
-
A Study to Evaluate the Efficacy and Safety of Fondaparinux for the Prevention of Venous Blood Clots in Patients With a Plaster Cast or Other Type of Immobilization for a Below-knee Injury Not Needing Surgery
NCT00843492 ·Status: COMPLETED ·Phase: PHASE3