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Noninferiority of low-intensity to standard-intensity warfarin in geriatric hip or knee arthroplasty

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Ace Report Cover
December 2019

Noninferiority of low-intensity to standard-intensity warfarin in geriatric hip or knee arthroplasty

Vol: 8| Issue: 12| Number:3| ISSN#: 2564-2537
Study Type:Randomized Trial
OE Level Evidence:2
Journal Level of Evidence:N/A

Effect of Low-Intensity vs Standard-Intensity Warfarin Prophylaxis on Venous Thromboembolism or Death Among Patients Undergoing Hip or Knee Arthroplasty: A Randomized Clinical Trial

JAMA. 2019 Sep 3;322(9):834-842.

Contributing Authors:
BF Gage AR Bass H Lin SC Woller SM Stevens N Al-Hammadi JL Anderson J Li T Rodriguez JP Miller GA McMillin RC Pendleton AK Jaffer CR King B Whipple R Porche-Sorbet L Napoli K Merritt AM Thompson G Hyun W Hollomon RL Barrack RM Nunley G Moskowitz V Davila-Roman CS Eby

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Synopsis

1650 elderly patients undergoing a hip or knee arthroplasty were randomized to receive a low-intensity dose (International Normalized Ratio (INR) = 1.8) or standard-intensity dose (INR = 2.5) of warfarin for the prevention of thromboembolic events. The primary outcome of interest was the composite outcome of VTE and death. Secondary outcomes of interest included the rate of major bleeding and the ...

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