Systematic review of aspirin for preventing venous thromboembolism after major orthopedic surgery / 药物评价研究

ABSTRACT

Objective To systematically review the efficacy and safety of aspirin for preventing venous thromboembolism (VTE) after major orthopedic surgery.Methods Retrieved from PubMed,Embase and Cochrane Library,randomized controlled trials (RCT) and cohort studies about aspirin used in major orthopedic surgery were collected.Meta-analysis was performed by using Rev Man 5.3 software after data extraction and quality evaluation.Results Totally seven RCTs and five cohort studies were included.Compared with control group,aspirin reduced the incidence of deep vein thrombosis (DVT) [RR=0.69,95％CI(0.54,0.89),P =0.004] and pulmonary embolism(PE) [RR =0.60,95％CI(0.43,0.84),P =0.003].Compared with low molecular weight heparin (LMWH),the incidence ofDVT,PE and hemoglobin drop were [RR =1.06,95％CI(0.96,1.17),P =0.22],[RR =1.04,95％CI(0.93,1.18),P =0.48] and [MD =-7.61,95％CI(-11.73,-3.49),P =0.000 3] respectively in aspirin group.Conclusions Compared with control,aspirin could reduce VTE incidence after major orthopedic surgery.There were no significant differences in VTE incidence between aspirin and LMWH,but hemoglobin drop were lower in aspirin group.For other complications,there were no significant differences between aspirin and control/LMWH.