Review Article

The Effect of Heparin and Its Preparations on Disseminated Intravascular Coagulation Mortality and Hospitalization: A Systematic Review

Table 2

Characteristics of studies included in systematic review.

Year, authorStudy designUnderlying diseaseStudy populationInterventionMortality
rate (%)
ControlMortality rate (%) valueDiagnostic criteriaQuality of studyResult

Tang et al., 2020Retrospective cohort studyCOVID-19-sepsis97LMWH-heparin40No heparin exposure64.20.029ISTHGoodEffective
Mant and King, 1979Retrospective cohort studyInfections, shock, trauma, hepatic disease, malignancy47Heparin83No heparin exposure86>0.05OCPoorNeutral
Sakuragawa et al., 1993Randomized controlled clinical trialMalignant tumor, Infection, Vascular disease, gynecologic disease, surgical disease, burn124LMWH (Dalteparin)0Heparin7.8NSJMHWFIGURE 2Effective
Wen et al., 2018Randomized controlled clinical trialTrauma77LMWH/heparin19.2/24Coagulation factors only57.7<0.05/<0.05ISTHFIGURE 2Effective
Göbel et al., 1980Randomized controlled clinical trialPostpartum shock or respiratory distress40Heparin31.5Placebo29.4NROCFIGURE 2Neutral
Aoki et al., 2002Randomized controlled clinical trialAPL, cancer, infection104Activated protein C20.4Heparin40<0.05JMHWFIGURE 2NotEffective
Saito et al., 2007Randomized controlled clinical trialMalignancy or infection224Recombinant human soluble thrombomodulin17.2Heparin18>0.05JMHWFIGURE 2Neutral
Aikawa et al., 2011Retrospective RCTInfection80Thrombomodulin alfa21.4Heparin31.6NRJMHWFIGURE 2Neutral