Faculty Articles

Title

Oral Anticoagulation Therapy upon Discharge in Hospitalized Patients with Nonvalvular Atrial Fibrillation: A Retrospective Cohort Study

ISBN or ISSN

2377-1003

Publication Title

Hospital Practice

Volume

46

Issue

1

Publication Date / Copyright Date

2-1-2018

First Page

22

Last Page

29

DOI Number

10.1080/21548331.2018.1415621

Abstract

OBJECTIVES: Availability of direct oral anticoagulants and CHA

METHODS: A retrospective cohort study was conducted using a de-identified data collection sheet for data extraction (demographics, admitting diagnosis, OACT prior to admission and at discharge, concomitant medications that could increase bleed risk and/or acid-suppressive therapies). CHA

RESULTS: Data from 180 patients were evaluated and of these 177 (98.3%) received OACT regardless of stroke risk upon discharge, as determined by CHA

CONCLUSIONS: Decision to add OACT is often guideline-driven, however, individualized circumstances in which clinicians and patients find themselves are also important considerations. Determination of ischemic stroke risk should be performed with CHA

Disciplines

Medicine and Health Sciences | Pharmacy and Pharmaceutical Sciences

Keywords

anticoagulation, CHA2DS2VASc score, guideline, HAS-BLED score, nonvalvular atrial fibrillation, pharmacotherapy, stroke

Peer Reviewed

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