Aspirin, Anticoagulants Similarly Prevent VTE After TKA

Share this content:
Aspirin, Anticoagulants Similarly Prevent VTE After TKA
Aspirin, Anticoagulants Similarly Prevent VTE After TKA

FRIDAY, Oct. 19, 2018 (HealthDay News) -- Among patients undergoing total knee arthroplasty (TKA), aspirin alone may provide protection against postoperative venous thromboembolism (VTE) that is similar to that of other anticoagulants, according to a study published online Oct. 17 in JAMA Surgery.

Brandon R. Hood, M.D., from the University of Michigan in Ann Arbor, and colleagues retrospectively assessed the acceptability of aspirin alone versus anticoagulant prophylaxis for reducing the risk of postoperative VTE among 41,537 patients who underwent primary TKA between April 1, 2013, and Oct. 31, 2015. Pharmacologic prophylaxis methods were: neither aspirin nor anticoagulants (668 patients), aspirin only (12,831 patients), anticoagulant only (e.g., low-molecular-weight heparin, warfarin, and Xa inhibitors; 22,620 patients), and both aspirin and anticoagulant (5,418 patients).

The researchers found that VTE events occurred in 1.38 percent of patients, including 4.79 percent of those who received no pharmacologic prophylaxis, 1.16 percent treated with aspirin alone, 1.42 percent of those treated with anticoagulation alone, and 1.31 percent prescribed both aspirin and anticoagulation. For the composite of VTE or death, aspirin only was non-inferior versus other chemoprophylaxis (adjusted odds ratio, 0.85; 95 percent confidence interval [CI], 0.68 to 1.07; P for inferiority = 0.007). Bleeding occurred in 1.1 percent of patients overall and specifically in 1.5 percent without prophylaxis, 0.9 percent in the aspirin group, 1.14 percent with anticoagulation, and 1.35 percent of those receiving both. For bleeding complications, aspirin alone was also non-inferior (adjusted odds ratio, 0.8; 95 percent CI, 0.63 to 1; P for inferiority < 0.001).

"In this study of patients undergoing TKA, aspirin was not inferior to other anticoagulants in the postoperative rate of VTE or death," the authors write.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

CDC: Progress in HIV Prevention Has Stalled in the United States

CDC: Progress in HIV Prevention Has Stalled in ...

Agency says effective HIV prevention, treatment not reaching those who could most benefit

AAAAI: Egg Oral Immunotherapy Shows Sustained Benefit in Children

AAAAI: Egg Oral Immunotherapy Shows Sustained Benefit in ...

All children with sustained unresponsiveness ingested concentrated and baked egg

Prenatal Vitamin Intake in Early Pregnancy May Cut Autism Risk

Prenatal Vitamin Intake in Early Pregnancy May Cut ...

ASD risk down for children whose mothers took prenatal vitamins during first month of pregnancy

is free, fast, and customized just for you!




Already a member?

Sign In Now »