Deep Vein Thrombosis, Deep Vein Thrombosis With Pulmonary Embolism, Pulmonary Embolism
Conditions
Keywords
Duration of anticoagulation, Deep vein thrombosis and/or pulmonary embolism
Brief summary
To determine whether 3 months' anticoagulation is as good as or better than 6 months' for the treatment of DVT/PE
Detailed description
Multi-centre trial involving 46 hospitals in the United Kingdom, with patients entered by 137 Consultant Physicians. Consenting patients were randomised in a central office to either 3 months' or 6 months' anticoagulation. Information on progress of the patients was requested by the co-ordinating office at 3 months, 6 months and 12 months. Outcomes were measured as death from DVT/PE, non-fatal extensions or recurrences of DVT/PE and major haemorrhages during and after anticoagulation.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged 18 years or more with suspected or proven DVT/PE whom the clinician intended to anticoagulate.
Exclusion criteria
* DVT/PE severe enough to require thrombolysis or pulmonary embolectomy. * DVT/PE in the preceding 3 years. * Neoplasia diagnosed/treated within previous 3 years. * Pregnancy. * Known major thrombophilias. * Prolonged or continuous immobility or confinement to bed. * Previous allergy to heparin or warfarin. * Requirement for long-term anticoagulation. * Inability to give informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Death due to DVT/PE | — |
| Failures of resolution, extension or recurrence of DVT and/or PE during and after treatment. | — |
| Number of major haemorrhages. | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparison of length of Hospital stay between those given unfractionated heparin and those given low molecular weight heparin. | — |
Countries
United Kingdom