How reliable is perioperative anticoagulant management? Determining guideline compliance and practice variation by a retrospective patient record review.

ABSTRACT:

Objectives

Surgery in patients on anticoagulants requires careful monitoring and risk assessment to prevent harm. Required interruptions of anticoagulants and deciding whether to use bridging anticoagulation add further complexity. This process, known as perioperative anticoagulant management (PAM), is optimised by using guidelines. Optimal PAM prevents thromboembolic and bleeding complications. The purpose of this study was to assess the reliability of PAM practice in Dutch hospitals. Additionally, the variations between hospitals and different bridging dosages were studied.

Design

A multicentre retrospective patient record review.

Setting and participants

Records from 268 patients using vitamin-K antagonist (VKA) anticoagulants who underwent surgery in a representat

SUBMITTER: Moesker MJ 

PROVIDER: S-EPMC6661608 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature