Search results for "Anticoagulation"


 
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New guideline released on periop management of antithrombotic therapy

The American College of Chest Physicians issued 44 recommendations, covering use of vitamin K antagonists, heparin bridging, direct oral anticoagulants, and antiplatelet drugs in patients undergoing surgeries or procedures.
https://acphospitalist.acponline.org/archives/2022/08/17/free/new-guideline-released-on-periop-management-of-antithrombotic-therapy.htm
17 Aug 2022

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

Inpatient diagnosis of atrial fibrillation associated with lower use of anticoagulation

Ninety days after being diagnosed with atrial fibrillation, 51.6% of patients diagnosed in the ED were on oral anticoagulants, compared to 50.9% of those diagnosed in the hospital and 67.9% of those diagnosed as outpatients, a Canadian study found.
https://acphospitalist.acponline.org/archives/2022/08/03/inpatient-diagnosis-of-atrial-fibrillation-associated-with-lower-use-of-anticoagulation.htm
3 Aug 2022

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

Mortality lower in COVID-19 inpatients who got aspirin with anticoagulation

An international registry study compared outcomes in 298 patients who received both prophylactic anticoagulation and aspirin with a propensity-matched group who received anticoagulation alone.
https://acphospitalist.acponline.org/archives/2022/06/29/free/mortality-lower-in-covid-19-inpatients-who-got-aspirin-with-anticoagulation.htm
29 Jun 2022

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

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

Hypocoagulopathy

Correct coding and sequencing of codes for patients admitted with hypocoagulopathy can be tricky.
https://acphospitalist.acponline.org/archives/2022/05/18/coding-corner-hypocoagulopathy.htm
18 May 2022

Mixed news on anticoagulation; new data on myocarditis, postexposure prophylaxis

Full-dose anticoagulation appeared to help hospitalized COVID-19 patients who weren't critically ill but not the critically ill, trials showed. Postvaccine myocarditis and pericarditis were investigated by a study, while new data and an FDA authorization supported postexposure prophylaxis for some patients.
https://acphospitalist.acponline.org/weekly/archives/2021/08/11/1.htm
11 Aug 2021

Adding contraception to the conversation

A hospitalist explains a recent call for her peers to consider their patients' family planning needs.
https://acphospitalist.acponline.org/archives/2022/07/06/free/adding-contraception-to-the-conversation.htm
6 Jul 2022

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