PMID- 25960857 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150511 LR - 20200930 IS - 2035-3006 (Print) IS - 2035-3006 (Electronic) IS - 2035-3006 (Linking) VI - 7 IP - 1 DP - 2015 TI - Is the incidence trend of heparin-induced thrombocytopenia decreased by the increased use of low-molecular-weight-heparin? PG - e2015029 LID - 10.4084/MJHID.2015.029 [doi] LID - e2015029 AB - BACKGROUND: The increasing trend of using low-molecular-weight-heparin (LMWH) versus unfractionated heparin (UFH) in hospitalized adult patients is raising concerns about the incidence of heparin-induced thrombocytopenia (HIT). METHOD: A retrospective study analyzed the requests for heparin-induced antibodies by enzyme-linked immunosorbent assay (ELISA) among adult hospitalized patients during the period from January 2011 to December 2013. These patients received either UFH or LMWH for prevention or therapeutic indications. Those with positive immune-mediated HIT were identified and considered as case patients. RESULT: The usage of LMWH and UFH and development of HIT was determined during the study period. The incidence of HIT in patients receiving UFH and those receiving LMWH was 4.09 per thousand patients and 0.48 per thousand patients, respectively, (p<0.0001) with an overall incidence of 2.49 per thousand patients. CONCLUSION: The increased trend of using LMWH over UFH among hospitalized adult patients was observed and can be said to contribute to the diminished overall incidence of HIT. FAU - Al-Eidan, Fahad A S AU - Al-Eidan FA AD - College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Kingdom of Saudi Arabia. LA - eng PT - Journal Article DEP - 20150420 PL - Italy TA - Mediterr J Hematol Infect Dis JT - Mediterranean journal of hematology and infectious diseases JID - 101530512 PMC - PMC4418371 EDAT- 2015/05/12 06:00 MHDA- 2015/05/12 06:01 PMCR- 2015/01/01 CRDT- 2015/05/12 06:00 PHST- 2015/01/18 00:00 [received] PHST- 2015/03/13 00:00 [accepted] PHST- 2015/05/12 06:00 [entrez] PHST- 2015/05/12 06:00 [pubmed] PHST- 2015/05/12 06:01 [medline] PHST- 2015/01/01 00:00 [pmc-release] AID - mjhid-7-1-e2015029 [pii] AID - 10.4084/MJHID.2015.029 [doi] PST - epublish SO - Mediterr J Hematol Infect Dis. 2015 Apr 20;7(1):e2015029. doi: 10.4084/MJHID.2015.029. eCollection 2015.