Tao YN, Han Q, Jiao W, Yang LK, Wang F, Xue S, Shen M, Wang YH. Effects of ulinastatin therapy in deep vein thrombosis prevention after brain tumor surgery: A single-center randomized controlled trial. World J Clin Cases 2023; 11(31): 7583-7592 [PMID: 38078125 DOI: 10.12998/wjcc.v11.i31.7583]
Corresponding Author of This Article
Yu-Hai Wang, MD, PhD, Chief Physician, Doctor, Full Professor, Neurosurgeon, President, Department of Neurosurgery, The 904th Hospital of Joint Logistic Support Force, No. 101 Xing Yuan North Road, Wuxi 214044, Jiangsu Province, China. wangyuhai1516@163.com
Research Domain of This Article
Nursing
Article-Type of This Article
Clinical Trials Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 6, 2023; 11(31): 7583-7592 Published online Nov 6, 2023. doi: 10.12998/wjcc.v11.i31.7583
Table 1 Comparison of baseline data, n (%)
UTI group (n = 180)
Placebo group (n = 181)
P value
Age (yr, mean ± SD)
58.7 ± 4.2
59.1 ± 4.3
0.372
Gender
0.881
Male
109 (60.56)
111 (61.33)
Female
71 (39.44)
70 (38.67)
BMI (kg/cm2, mean ± SD)
22.1 ± 2.1
22.5 ± 2.4
0.090
Smoking history
0.561
Yes
73 (40.56)
68 (37.57)
No
107 (59.44)
113 (62.43)
Living environment
0.393
Town
126 (70.00)
134 (74.03)
Countryside
54 (30.00)
47 (25.97)
Past medical history
Hypertension
65 (36.11)
60 (33.15)
0.554
Hyperlipidemia
76 (42.22)
69 (38.12)
0.427
Diabetes
59 (32.78)
52 (28.73)
0.405
Cholelithiasis
31 (17.22)
35 (19.34)
0.603
Brain tumor type
0.355
Benign tumor
114 (63.33)
123 (67.96)
Malignant tumor
66 (36.67)
58 (32.04)
Surgery time (h, mean ± SD)
4.6 ± 1.5
4.4 ± 1.4
0.191
Table 2 Comparison of baseline data between two venous thromboembolism group patients, n (%)
VTE Patients
UTI group (n = 15)
Placebo group (n = 28)
P value
Age (yr, mean ± SD)
59.9 ± 8.1
59.4 ± 8.5
0.853
Gender
0.782
Male
9 (60.00)
18 (64.29)
Female
6 (40.00)
10 (35.71)
BMI (kg/cm2, mean ± SD)
22.4 ± 2.5
22.1 ± 2.4
0.702
Smoking History
0.598
Yes
10 (66.67)
19 (67.86)
No
5 (33.33)
9 (32.14)
Living environment
0.702
Town
13 (72.22)
23 (82.14)
Countryside
2 (27.78)
5 (17.86)
Past medical history
Hypertension
8 (53.33)
15 (53.57)
0.988
Hyperlipidemia
8 (53.33)
12 (42.86)
0.512
Diabetes
7 (46.67)
13 (46.43)
0.988
Cholelithiasis
6 (40.00)
10 (35.71)
0.782
Brain tumor type
0.484
Benign tumor
8 (53.33)
18 (64.29)
Malignant tumor
7 (46.67)
10 (35.71)
Surgery time (h, mean ± SD)
4.7 ± 1.7
4.6 ± 1.5
0.843
Table 3 Comparison of the secondary end-points
UTI (n = 180)
Placebo (n = 181)
P value
Coagulation function, mean ± SD
PT (s)
9.25 ± 2.27
15.36 ± 2.81
< 0.001
APTT (s)
21.13 ± 3.28
26.22 ± 3.29
< 0.001
D-D (mg/L)
1.84 ± 0.72
2.41 ± 0.92
< 0.001
FIB (g/L)
2.71 ± 0.49
2.89 ± 0.58
0.002
Pulmonary embolism
3 (1.67%)
1 (0.55%)
Liver function index levels, mean ± SD
ALT (U/L)
39.27 ± 4.16
41.29 ± 4.25
< 0.001
AST (U/L)
28.84 ± 3.26
29.48 ± 3.87
0.09
Renal function index levels, mean ± SD
Scr
54.33 ± 8.21
56.08 ± 9.42
0.06
BUN
6.37 ± 2.95
8.11 ± 3.10
< 0.001
Table 4 Comparison of safety evaluation, and postoperative hospital stays and costs, n (%)
UTI (n = 180)
Placebo (n = 181)
P value
Granulocytopenia
17 (9.44)
14 (7.73)
0.562
Abnormal liver enzymes
16 (8.88)
11 (6.08)
0.310
Diarrhea
44 (24.44)
31 (17.12)
0.087
Vomiting
34 (18.88)
22 (12.15)
0.077
Allergies
29 (16.11)
15 (8.29)
0.023
Hospitalization stays, day, mean ± SD
13.46 ± 4.56
14.13 ± 4.79
0.174
Hospitalization costs, CNY×104, mean ± SD
5.27 ± 2.28
5.12 ± 2.09
0.515
Citation: Tao YN, Han Q, Jiao W, Yang LK, Wang F, Xue S, Shen M, Wang YH. Effects of ulinastatin therapy in deep vein thrombosis prevention after brain tumor surgery: A single-center randomized controlled trial. World J Clin Cases 2023; 11(31): 7583-7592