Table 10.
—[Section 3.1] Summary of Findings: Should Unfractionated Heparin vs Placebo Be Used for DVT Prevention in Critically Ill Adult Patients?71
Outcome | No. of Participants (Studies) Follow-up | Quality of the Evidence (GRADE) | Relative Effect (95% CI)c | Anticipated Absolute Effects |
|
Baseline Risk | Risk Difference With UFH (95% CI) | ||||
Symptomatic DVT |
1,457 (1 RCT) up to 28 d |
Moderate due to imprecisiona |
RR, 0.89 (0.57-1.41) |
58 per 1,000 |
6 fewer per 1,000 (25 fewer to 24 more) |
Pulmonary embolus |
1,457 (1 RCT) up to 28 d |
Low due to indirectnessb and imprecisiona |
RR, 0.48 (0.10-2.26) |
42 per 1,000 |
22 fewer per 1,000 (38 fewer to 53 more) |
Death |
No data |
… |
… |
… |
… |
Major bleeding | No data | … | … | … | … |
We will consider the presence of serious imprecision when there are <300 events in total (events in treatment and control patients) or when CIs include appreciable harms and benefits.
Pulmonary embolus baseline risk was obtained from observational studies whereas the relative risk is from RCT (mix of symptomatic and asymptomatic events)
RR estimated from a mix of symptomatic and asymptomatic events.