Table 2

Comparison among patients who did and did not reach target anti-Xa levels

Target anti-XaNever on-target anti-XaP value
n=195n=85
Male (%)78.9%82.4%0.503
Age (median, IQR)35 (24–56)36 (26–50)0.884
Mechanism (%)
Blunt56.2%51.9%0.533
Penetrating injury43.8%48.1%
History of VTE (%)1.0%2.4%0.396
ISS (median, IQR)14 (9–26)18 (10–26)0.927
BMI (median, IQR)24.4 (22.0–28.2)25.2 (22.3–29.5)0.409
ICU length of stay (days; median, IQR)5 (2 - 9)3 (2 - 5)0.003
Hospital length of stay (days; median, IQR)12 (7–21)8 (5 - 15)0.019
Admission INR (median, IQR)1.1 (1.0–1.2)1.1 (1.0–1.2)0.922
Creatinine clearance (median, IQR)117 (90–150)147 (110–183)0.039
First enoxaparin dose (%)
30 mg two times per day95.9%95.3%0.520
40 mg two times per day3.1%4.7%
60 mg two times per day1.0%0.0%
Hours to enoxaparin initiation (median, IQR)31 (16–67)31 (19–43)0.079
Total anti-Xa levels collected (median, IQR)1 (1-2)1 (1-2)0.050
Dose modifications made (median, IQR)0 (0–1)0 (0–1)0.361
Final enoxaparin dose (%)
30 mg two times per day61.9%49.4%0.009
40 mg two times per day26.3%41.1%
60 mg two times per day10.8%4.7%
80 mg two times per day1.0%2.4%
100 mg two times per day0.0%2.4%
Median anti-Xa level by dose (median, IQR)
30 mg two times per day0.24 (0.22–0.29)0.21 (0.07–0.16)<0.001
40 mg two times per day0.26 (0.22–0.30)0.12 (0.07–0.14)<0.001
60 mg two times per day0.33 (0.26–0.39)0.07 (0.05–0.09)0.038
80 mg two times per day0.40 (0.39–0.41)0.04 (0.04–0.04)0.035
100 mg two times per dayn/a0.15 (0.14–0.17)
Major bleeding (%)3.1%0.0%0.101
Venous thromboembolic events (%)9.3%9.4%0.972
Mortality (%)1.0%1.1%0.914
  • BMI, body mass index; ICU, intensive care unit; INR, international normalized ratio; IQR, interquartile range; ISS, Injury Severity Score; VTE, venous thromboembolism.