Table 6.

Predictive factors for thrombosis in patients with HIT treated with lepirudin



Thrombosis, no. patients/no. total (%)

Multivariate analysis

Yes
No
Odds ratio
95% CI
P
Dose of heparin therapy      
   Preventive   4/25 (16.0)   82/156 (52.6)   1.00   NA   NA  
   Therapeutic
 
21/25 (84.0)
 
74/156 (47.4)
 
4.26
 
1.32-13.79
 
.016
 


Thrombosis, no. patients/no. total (%)

Multivariate analysis

Yes
No
Odds ratio
95% CI
P
Dose of heparin therapy      
   Preventive   4/25 (16.0)   82/156 (52.6)   1.00   NA   NA  
   Therapeutic
 
21/25 (84.0)
 
74/156 (47.4)
 
4.26
 
1.32-13.79
 
.016
 

Variables in addition to those listed above were previous treatment with danaparoid, concomitant antiplatelet treatment, lepirudin bolus, platelet count (< 50 × 109/L), and aPTT prolongation 2.5 times baseline value. On multivariate analysis, mean lepirudin dose was not a significant predictive factor for thrombosis. Compared with an odds ratio value of 1 in patients receiving mean lepirudin doses > 0.07 mg/kg/h, the odds ratios (95% confidence interval [CI]) for thrombosis were 0.62 (0.20-1.92; P = .49) and 0.83 (0.28-2.43; P = .93) in patients receiving mean lepirudin doses of 0.04 to 0.07 mg/kg/h and ≤ 0.04 mg/kg/h, respectively

NA indicates not applicable

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