Search results for "Anticoagulation"
Early anticoagulation noninferior to delayed after ischemic stroke in patients with afib
No difference in a composite outcome of recurrent ischemic stroke, symptomatic intracranial hemorrhage, unclassifiable stroke, or systemic embolism was seen between patients with atrial fibrillation who received anticoagulation four or fewer days after an ischemic stroke and those who received it between seven and 14 days after, a British trial found.
https://acphospitalist.acponline.org/archives/2024/10/30/early-anticoagulation-noninferior-to-delayed-after-ischemic-stroke-in-patients-with-afib.htm
30 Oct 2024
COVID-19 guideline update from NIH, postdischarge anticoagulation, remdesivir effects
The latest news on inpatient COVID-19 care includes some changes to the NIH guidelines for COVID-19 treatment, as well as studies showing that rivaroxaban after discharge reduced clots and remdesivir helped inpatients on no or low-flow oxygen but not those who were sicker.
https://acphospitalist.acponline.org/weekly/archives/2021/12/22/1.htm
22 Dec 2021
Adding antiplatelet or anticoagulant to thrombolysis didn't improve stroke outcomes
Ischemic stroke patients who were randomized to IV argatroban or eptifibatide within 75 minutes of initiation of thrombolysis had higher mortality and lower Rankin scale scores at 90 days than patients given a placebo, a trial found.
https://acphospitalist.acponline.org/archives/2024/09/11/adding-antiplatelet-or-anticoagulant-to-thrombolysis-didnt-improve-stroke-outcomes.htm
11 Sep 2024
Decision pathway addresses bleeding in patients on oral anticoagulants
The guidance from the American College of Cardiology covers management of major and minor bleeding in patients treated with direct-acting oral anticoagulants or vitamin K antagonists for any indication.
https://acphospitalist.acponline.org/weekly/archives/2020/07/22/4.htm
22 Jul 2020
October 2016
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2016/10/
tPA bolus within 48 hours of DOAC use not associated with increased risk for intracerebral hemorrhage vs. warfarin or no anticoagulation
A systematic review and meta-analysis compared the rate of symptomatic intracerebral hemorrhage in stroke patients pretreated with a direct oral anticoagulant (DOAC) versus those without prior anticoagulation and those on warfarin with an international normalized ratio below 1.7.
https://acphospitalist.acponline.org/weekly/archives/2020/01/08/3.htm
8 Jan 2020
September 6, 2023
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2023/09/06/
COVID-19 research focused on anticoagulation, vaccine-induced thrombocytopenia
Two new studies support prophylactic, rather than therapeutic, anticoagulation for COVID-19 patients, and case reports provide more information about vaccine-induced immune thrombotic thrombocytopenia.
https://acphospitalist.acponline.org/weekly/archives/2021/06/16/1.htm
16 Jun 2021
Large-bore mechanical thrombectomy improves outcomes for intermediate-risk PE
Patients hospitalized with pulmonary embolism (PE) who received large-bore mechanical thrombectomy instead of catheter-directed thrombolysis were less likely to experience clinical deterioration and require subsequent ICU admission, an industry-funded randomized trial found.
https://acphospitalist.acponline.org/archives/2024/11/06/large-bore-mechanical-thrombectomy-improves-outcomes-for-intermediate-risk-pe.htm
6 Nov 2024
Early anticoagulation appears safe after acute ischemic stroke in patients with afib
The AREST trial, which ended early due to changes in national guidelines, found statistically similar but numerically lower rates of the primary study outcome (fatal stroke, recurrent ischemic stroke, or transient ischemic attack) in those who received anticoagulation early with apixaban versus later with warfarin.
https://acphospitalist.acponline.org/weekly/archives/2021/03/03/5.htm
3 Mar 2021