Clinicians' adherence to guidelines for the preoperative management of direct oral anticoagulants in a tertiary hospital: a retrospective study.

ABSTRACT:

Introduction

Despite clear, relatively easy-to-use guidance, many clinicians find the preoperative management of direct oral anticoagulants (DOACs) challenging. Inappropriate management can delay procedures and lead to haemorrhagic or thromboembolic complications. We aimed to describe preoperative management practices regarding DOACs in a tertiary hospital and clinicians' adherence to in-house recommendations.

Method

We included all patients being treated with DOACs who underwent elective surgery in 2019 and 2020 (n = 337). In-house recommendations for perioperative management were largely comparable to the 2022 American College of Chest Physicians guidelines.

Results

Typical patients were older adults with multiple comorbidities and high thrombotic risk stratificatio

SUBMITTER: Terrier J 

PROVIDER: S-EPMC10503177 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature