Thromboprophylaxis in hip fracture surgery: a pilot study comparing danaparoid, enoxaparin and dalteparin. The TIFDED Study Group

Haemostasis. 1999 Nov-Dec;29(6):310-7. doi: 10.1159/000022518.

Abstract

A pilot study was performed to compare the thromboprophylactic effect of danaparoid, enoxaparin and dalteparin in patients with hip fracture. The study was a prospective, randomised assessor-blind, four-centre trial. Prophylaxis was given for 9-11 days, whereafter bilateral phlebography was performed. A total of 197 patients were randomised. There were no statistically significant differences in the frequency of deep vein thrombosis, in blood loss or bleeding complications between the three prophylaxis groups. In conclusion, this moderately sized study revealed no statistically significant difference in efficacy or safety between danaparoid, enoxaparin and dalteparin in patients undergoing hip fracture surgery.

Publication types

  • Clinical Trial
  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anticoagulants / administration & dosage
  • Anticoagulants / adverse effects
  • Antithrombin III / administration & dosage
  • Antithrombin III / adverse effects
  • Blood Loss, Surgical
  • Chondroitin Sulfates / administration & dosage
  • Chondroitin Sulfates / adverse effects
  • Dalteparin / administration & dosage
  • Dalteparin / adverse effects
  • Dermatan Sulfate / administration & dosage
  • Dermatan Sulfate / adverse effects
  • Drug Combinations
  • Drug Evaluation
  • Enoxaparin / administration & dosage
  • Enoxaparin / adverse effects
  • Female
  • Fibrinolytic Agents / administration & dosage
  • Fibrinolytic Agents / adverse effects
  • Follow-Up Studies
  • Hemorrhage / chemically induced
  • Heparitin Sulfate / administration & dosage
  • Heparitin Sulfate / adverse effects
  • Hip Fractures / complications
  • Hip Fractures / surgery*
  • Humans
  • Incidence
  • Male
  • Pilot Projects
  • Prospective Studies
  • Survival Rate
  • Thromboembolism / drug therapy
  • Thromboembolism / etiology
  • Thromboembolism / prevention & control
  • Venous Thrombosis / drug therapy
  • Venous Thrombosis / etiology
  • Venous Thrombosis / prevention & control*

Substances

  • Anticoagulants
  • Drug Combinations
  • Enoxaparin
  • Fibrinolytic Agents
  • Dermatan Sulfate
  • Antithrombin III
  • Chondroitin Sulfates
  • Heparitin Sulfate
  • danaparoid
  • Dalteparin