| Management of warfarin-associated coagulopathy in patients with acute gastrointestinal bleeding: A cross-sectional physician survey of current practice. | |
| | |
MedLine Citation:
|
PMID: 21168374 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: The management of vitamin K antagonists (VKAs) associated coagulopathy is a cornerstone of pre-endoscopic assessment of anticoagulated patients presenting with acute gastrointestinal bleeding. AIMS: To evaluate physician attitudes in the management of VKAs-associated coagulopathy in patients presenting with gastrointestinal bleeding and to assess their compliance to current practice guidelines. DESIGN: Cross sectional physician web-based survey amongst regional members of three Italian Gastroenterological Societies (AIGO, SIED, SIGE) practicing in academic medical centres or community hospitals. Physicians were asked to provide management preferences in four hypothetical case-scenarios describing patients with warfarin-associated coagulopathy presenting with gastrointestinal bleeding of varying severity. RESULTS: A total of 105 out of 238 (48%) members responded; mean age±SD: 46.3±9.8 years, 68% male. The adherence to practice guidelines for the reversal of warfarin-induced anticoagulation ranged from 24% to 86% and it was not dependent on age, years and type of specialisation, hospital setting and active performance of "on call" emergency endoscopy or not. CONCLUSIONS: There is a considerable variability amongst physicians in the management of gastrointestinal bleeding patients with VKAs-associated coagulopathy and a poor compliance to practice guidelines. These data indicate that better education is needed in this area. |
| | |
Authors:
|
Franco Radaelli; Silvia Paggi; Vittorio Terruzzi; Gianmichele Meucci; Gianpiero Manes; Simone Saibeni; Marco Soncini; Enzo Masci; Dario Conte |
Related Documents
:
|
438484 - Skeletal deformities of the denervated hand in hansen's disease. 7708794 - Making the most of an essential resource. using skill mix for the benefit of staff and ... 4073884 - Role of specific postingestional effects and medicinal context in the acquisition of li... 10253504 - Why is there resistance to change and how can it be minimized? 12577824 - Primary care trusts. the human touch. 18520134 - regulatory sciences in herbal medicines and dietary supplements |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2010-12-16 |
Journal Detail:
|
Title: Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver Volume: - ISSN: 1878-3562 ISO Abbreviation: - Publication Date: 2010 Dec |
Date Detail:
|
Created Date: 2010-12-20 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100958385 Medline TA: Dig Liver Dis Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2010 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
|
Ospedale Valduce Gastroenterology Unit, Como, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Determination of 1,25-dihydroxyvitamin D(2) in rat serum using liquid chromatography with tandem mas...
Next Document: Lipopolysaccharide-induced intestinal motility disturbances are mediated by c-Jun NH(2)-terminal kin...