Brain Injury, Venous Thrombosis
Conditions
Keywords
Enoxaparin, Safety
Brief summary
To study the safety and efficacy of early administration of Low Molecular Weight Heparin to patients with traumatic brain injury.
Detailed description
Venous thromboembolic (VTE) prophylaxis in trauma patients is a critical clinical problem. Patients with traumatic brain injury usually have effective VTE prophylaxis withheld secondary to concerns of exacerbating intracranial hemorrhage. This study examines the safety and efficacy of early administration (within 24 hrs of admission) of low molecular weight heparin to this patient population with very high VTE risk.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Blunt traumatic brain injury (Marshall II-V) * Stable 6 hr. head CT * Stable hemoglobin
Exclusion criteria
* Premorbid coagulopathy * Pregnancy * \< 18 y.o. * Need for therapeutic anticoagulation * Heparin allergy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety: Assess if early administration of LMWH exacerbates intracranial hemorrhage. | — |
Secondary
| Measure | Time frame |
|---|---|
| Efficacy: Demonstrate effectiveness of dosing regimen in preventing VTE. | — |
Countries
United States